Rhinoplasty Specialists in Naples and Fort Myers, Florida
Revision rhinoplasty is a nasal reshaping procedure performed on an individual who has undergone a prior rhinoplasty procedure. Commonly, revision rhinoplasty patients are dissatisfied with one or more aspects of their surgical result. This can be related to uncontrolled scar contracture forces during healing from the primary operation, poor communication between the prior surgeon and patient, surgeon error, patient non-compliance post-operatively, unrealistic expectations and goals, or body dysmorphic disorder (BDD).
Because the skin has been elevated and maneuvers have been performed on the underlying cartilage and bone, there is usually some scar tissue and unpredictability to the shape of the underlying structures. For this reason, revision rhinoplasty should be undertaken by specialists who have the training and expertise required to deal with these unique intraoperative challenges. Often, cartilage grafting and scar tissue excision is required. Our surgeons utilize septal, ear, and homograft irradiated rib cartilage during revision rhinoplasty operations. Sometimes, the entire nasal skeleton must be supported and reconstructed. Knowledge of the internal and external nasal anatomy, an aesthetic eye, and attention to detail are of paramount importance.
It is useful to bring photographs from prior to the original rhinoplasty as well as detailed operative notes from any prior nasal operations. This enables our surgeons to see what maneuvers may have been performed previously while planning for your revision rhinoplasty.
Dr. Anurag Agarwal and Dr. Richard Maloney are double board certified facial plastic surgeons who dedicate their practice exclusively to the face and neck here in the Naples and Fort Myers area. They are recognized as innovators in their field, and often present their techniques at national facial plastic surgery meetings to educate their colleagues. Having board certification by both the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and by the American Board of Otolaryngology – Head and Neck Surgery (ABOTO), reflects their commitment to achieving the highest standard of excellence in rhinoplasty and revision rhinoplasty. Dr. Casey Holmes is a fellowship trained plastic surgeon who brings state of the art face, breast, and body contouring techniques to the Aesthetic Surgery Center.
Our plastic surgeons are able to sculpt the nose externally with finesse rhinoplasty techniques, as well as address any internal structural abnormalities, such as a deviated septum, nasal valve collapse, and/or turbinate enlargement. Computer imaging is a valuable communication tool that is used by our surgeons to demonstrate anticipated results to patients. Dr. Agarwal has published scientific research on the accuracy of computer imaging during rhinoplasty consultation.
Because revision rhinoplasty is a technically demanding operation and requires true specialization, patients travel from across North America, South America, Europe, India, and the Middle East to have rhinoplasty and revision rhinoplasty procedures performed by our specialists, Drs. Agarwal, Maloney, and Holmes. Full accommodations are available for out of town patients and can be arranged through our patient coordinator by calling 239-594-9100. Naples, Florida is a beautiful setting in which to recuperate.
