Should I have the same doctor perform my revision rhinoplasty?
answer: probably not.
answer: it depends. Rhinoplasty is by far the most difficult of the
facial plastic surgery operations. Few plastic surgeons are expert
at rhinoplasty; most are mediocre at best. If your rhinoplasty
didn't turn out at all how you expected it, and you suspect that your
surgeon was not expert at the operation, then you should not have him
perform the revision. A revision operation is even far more difficult
than a first-time, or primary, rhinoplasty, and if your surgeon didn't
have the skill to get the nose right in the first operation, he will be
completely lost during the second procedure. You will wind up
looking for a third operation, which is much harder yet than a second
operation. You're digging a deeper and deeper hole.
the other hand, a rhinoplasty never goes perfectly all of the time in even
the most expert of hands, so patients of the very best doctors sometime
require a revision rhinoplasty. If you did excellent research on your
doctor and know him to be highly competent to perform a rhinoplasty
(follow this link for directions on how to find
a competent surgeon), and the problem with your nose after surgery is a
well-defined, isolated problem, then you are probably safe having him
perform your revision.
There are monetary motivations and dangers
that can push you toward having your original surgeon perform your
revision rhinoplasty, even if you know he's not the right one. When
a surgeon revises a nose that he operated on originally, it is typical for
him to greatly reduce or completely waive his surgical fee, and you'll pay
only for the operating facility expenses. If you have another
surgeon perform your revision, however, you are a new patient to him,
presenting with a much more difficult problem than you had before your
first operation, so your revision in his office will probably be more expensive than your primary
rhinoplasty. Still, you must think long and hard before allowing the
mediocre surgeon to perform your revision at a greatly reduced rate; you
may well wind up in more trouble. That's no bargain.
any case, you should have a blunt and open discussion with your doctor
about what you notice and what you would like to have changed. That
discussion can help you figure out if you should allow your surgeon to
perform the revision or if you should seek more opinions.
that, even if your doctor is an expert rhinoplasty surgeon, he might not
be able to make the corrections that you are seeking. See the FAQ on
What can be improved during
a revision rhinoplasty for more information.
For those of
you who can stomach looking at photographs taken during surgery,
the Rhinoplasty Tutorial's chapter on
Revision Rhinoplasty will give you a much better idea of why the
revision is so more difficult than a primary rhinoplasty.
to the main FAQ page