Should you let your primary rhinoplasty surgeon
perform your revision?
Rhinoplasty is by far the most difficult of the facial plastic
surgery operations. And revision rhinoplasty is ten times more difficult
than a first-time operation.
First, you need to consider whether things didn't turn out great on your
first operation because of some unusual circumstance with the surgery or
the healing, or whether things went wrong because your doctor was not
expert in rhinoplasty in the first place.
Evaluate your surgeon again. Read this page on how to evaluate a surgeon
for a rhinoplasty:
How to tell if you got a good rhinoplasty consultation.
If you saw lots of before and after photos of your
surgeon's other patients who got excellent results, in noses at least
somewhat similar to yours, then your surgeon probably knows what he is
doing, and you can consider letting him perform your revision. Even the
very best surgeon has the occasional disappointing result.
However, if, on looking back, you decide that you did not do excellent
research on your original surgeon -- perhaps you relied on a referral,
or on his board certification, without being able to see his photos --
then you probably should not have him perform the revision. If he
couldn't get you close to your goal the first time because of a lack of
skill or judgment, he will have no chance at all on the second try, and then you'll
be in the tough position of looking for a third operation.