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RHINOPLASTY REVISION
By McGraw Hill Award Winning Beauty Theorist & Rhinoplasty Revision Expert Dr. Philip Young

Learn our Beauty Theory Advantage

Below is our New Introductory Video to our Rhinoplasty Procedure:

Click here to see more videos with our Rhinoplasty Playlist!
Click here for our Patient's Rhinoplasty Page who is featured after a Rhinoplasty in a video by the National Brand GNC: Facial Feminization Rhinoplasty!

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Dr. Young will present some before and after pictures on the subject of Revision Rhinoplasty and discuss some case specifics. We want the best for you and will do everything to help you with your situation!


Before Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient

After Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient
Before
After Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient
After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Rhinoplasty Revision Case Presentation Below: Before and After Revision Rhinoplasty for a procedure that was originally done in Korea. This patient had an extrusion of her implant through her nasal tip and we reconstructed through 2 stages. The first entailed taking the implant out. The second comprised of using both her ear cartilages to reconstruct her tip and nasal bridge


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Below is a Learning Video on Revision Nose Surgery of an Asian Rhinoplasty Revision Surgery, although not related to the pictures shown on this page. We would like to warn you that the images in this video are graphic. But from the request of our patients and clients, we are showing this to better educate them and also answer some questions they have had in the past:

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Rhinoplasty, to begin with, is the hardest and most technically demanding procedure that a plastic surgeon encounters in his | her career. With Secondary, Tertiary, etc revision rhinoplasty, the level of difficulty is even greater. In revisions, you have scar tissue that can hinder the procedure from start to finish. Also the amount of material left to work with is usually much less. Hence, the possibility of needing cartilage tissue from your ears or ribs is greater during revisions. Implants such as silicone, medpor, cadaveric cartilage, polyethylene are some more popular alternatives over your own tissues. These alternatives are more attractive to some people who do not wish to have cartilage taken from their ears or ribs.

Sometimes the best way to illustrate your ideas are through Nose Revision Rhinoplasty case presentations | studies. Below is a lady who had an implant placed in Korea. This implant began to fight with the body and began to extrude from the tip of the nose.

Revision Rhinoplasty 04

Revision Rhinoplasty 02

Revision Rhinoplasty 05

Revision Rhinoplasty 05

This case was extremely difficult. The implant had eroded through her skin and had severly damaged her underlying cartilages. With Asian noses inherently, many times, having weaker cartilages and structure, we knew that this rhinoplasty would require a “reconstructive effort” or Reconstructive Rhinoplasty. We would have to totally put the nose back together and also build it up in the process. The options included using a rib graft by itself, or using a combination of ear cartilage / temple fascia (tissue covering the temporalis muscle) / and medpor implant for the tip, or using solely medpor / silicone implants. Given that she had problems with the silicone implant, the option of all implants was not a great idea for her. Harvesting rib was also not on the top of her list and neither was this option top of mine. The option of using a combination of ear cartilage (likely both sides), temporalis fascia, and medpor sheets to present the natural tip cartilages was planned. The use of Medpor in Asian Rhinoplasty is explained in this: Asian Rhinoplasty. Our plan was to take out the implant first and give the nose some time to rest. This 2 step process would allow us to avoid infections by placing cartilage or another implant in the nose in the setting of the implant extrusion, which is considered an infection prone nose. After waiting 2 weeks, we would then carry out the definitive revision. Our plan was to take both ear cartilages and mince most of this cartilage into small pieces and then place them in a fascial blanket shaped into a nasal bridge. This natural implant was then placed in the dorsum. The tip cartilages would be advanced. We would further need to place some more cartilage on the sides of the tip and on the tip itself to increase the height.

Revision Rhinoplasty 01

Revision Rhinoplasty 08

Revision Rhinoplasty 06

Revision Rhinoplasty 06

The above Revision Rhinoplasty pictures were taken at one month. We will have more pictures in the near future when she comes back. Her swelling will go down more and her tip and bridge will become more refined with time. The scar on the tip of her nose will also get better with time. We will consider a scar revision procedure in the future as a possibility of further improving the tip area where the implant came out through the skin. The patient was extremely happy at this point of the recovery. We were also thrilled with the results! Again these after pictures were taken only just a month after the procedure. We will continue to update this Nose Rhinoplasty Surgery Revision for you to follow.


Before Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Oblique View.

After Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Oblique View.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea View From Below.

After Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea View From Below.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Close Up from the Front.

After Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Close Up from the Front.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Side View.

After Rhinoplasty Revision to correct a Silicone Implant Extrusion Through The Tip of the Nose that was done in Korea Side View.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young


The next case involves a lady that had a rhinoplasty before and was interested in Secondary Revision Rhinoplasty. She was not happy that her nostrils showed a “snarling” type of appearance. Her nostrils flared upwards. She also felt that her nostrils on the sides were too high and wanted them lowered. We mentioned the different options of lowering the nostrils on the sides. Most of the time, it entails using tissue from somewhere else to make the nostril rim come down. You can advance tissue, add some cartilage and skin from the ear to the inside, add cartilage along the rim of the nostril to pull it down.

In this next 2 Revision Rhinoplasty Before and After photos the blue shape in the one on the left indicates where you would put a cartilage graft within the nostril, hidden through an incision inside the nose. This cartilage graft can come from the septum or ear cartilage. This is good for less severe cases. When the retraction of the nostril rim is more severe, you can use composite grafts, or grafts that have skin and cartilage. We usually take these composite grafts from the ear in a well hidden incision. In the photo on the right the blue shape indicates where you would advance tissue from within the nose to lower the nostril rim. This is called a V-Y advancement.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Revision Rhinoplasty 15

In this next photo the blue arrow show our plan to advance the nostril rim to lower the whole nose on the side. This will help the retraction even more. This was caused by liberal resection of tissue on the side of the nostril which is often used to narrow the width of the nose in this area. The procedure to narrow the nose in this area is often called a wier excision. We are reversing the wier excision to a degree by advancing the nostril rim completely downward.

The below pictures are some before and afters to show the results from doing the composite grafts to the nostril rim and the advancing / lowering of the nostril side tissue inferiorly to help decrease the retraction.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Rhinoplasty Revision Case 3: Below is a patient that had some irregularities after a previous rhinoplasty several years before. She wanted a Rhinoplasty Revision | Secondary Reconstruction. She did not like the “butt” at the area under the tip. There was also a gouged out area in the bridge area. Below are the front and side views to see what this person is talking about:

Nose Irregularities

Nose Irregularities Close Up

Through Revision Rhinoplasty Techniques we were able to reconstructively improve this nose through this Secondary Rhinoplasty. Below are the Nose Revision Surgery | Rhinoplasty Revision Before and After Pictures:


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young


Rhinoplasty Revision for a 20 something Caucasian Female after 3 previous rhinoplasties by 2 surgeons in Japan and Seattle:

The person below had 3 previous rhinoplasties. The first one was in Japan and the 2nd one was in Seattle. She really disliked her nose. It was droopy, had bumps and knuckling. It als had a bump on the left side of the nasal bridge with narrowing on the right and the nasal bones pushed out on the left. She was very desparate to find a solution. Click here to see our YouTube Video of her Rhinoplasty Revision Surgery (Seattle, Bellevue Dr. Young):

This is what she said in an online review:

"Dr. Young is a very talented plastic surgeon and wonderful person. He went above and beyond in not only being understanding about my situation, but also making sure he had a clear idea of what I wanted. The results are better than I ever could have expected. I am incredibly grateful to him and his amazing staff and would absolutely recommend him to anyone." - 20's Caucasian Female from the Eastside Area.

Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose
Before Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose. (5 months Post Surgery and still healing)
Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Left Oblique View
Before Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Left Oblique View.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Left Oblique View.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Left Oblique View. (5 months Post Surgery and still healing)
Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Right Oblique View
Before Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Right Oblique View.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Right Oblique View.
After Revision Rhinoplasty for Droopy Tip, Tip Irregularities, Nasal Bridge Bump, Narrowed Right more than Left Nasal Airway, Collapsing Nostrils, and Crooked Nose Right Oblique View. (5 months Post Surgery and still healing)

Performed by Dr. Philip Young


See below for more of our Before and After Rhinoplasty Revision Images:


Before Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient

After Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient
Before
After Asian Rhinoplasty Revision with Natural Ear Cartilage Diced and Wrapped with Fascia for the Nasal Bridge and Ear Cartilage Grafting for Tip Refinement to replace the Silicone Implant and to lower the Tip and cover the Nostrils More as Desired by the Patient
After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young


Rhinoplasty Revision for a Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils:

The person below had multiple previous rhinoplasties. She was told that she could not have any improvement. She didn't like her droopy nose tip, the bumps on her nose bridge up higher, the bulbous tip, and how it looked crooked.

This is what she said in an online google review:

"I had an amazing experience with Dr. Young and his entire staff. I chose Dr. Young because I had a reconstructive nose job that was going to be really challenging and during our initial meeting, he laid out all of the potential risks while also showing me how he could make my very unattractive, not well functioning nose more functional and more attractive with the limited tissue he had to work with. He was practical, personable and clearly knew what he was doing. I appreciated that he took so much time "morphing" me a new nose to review. After the surgery, I experienced amazing after-care. The nursing team, Julie, and Dr. Young were amazing. They really want you to look good, feel good and be happy with your results. My case was fairly intense. I had tissue harvested from both of my ears to help rebuild by nose, so I was in the office quit a bit after my procedure. They really wanted to make sure there was no infection and that everything was healing properly. I've never experienced after-care to that degree. If you choose Dr. Young, expect to play a huge role in your healing and recovery. There is a lot of work involved in making sure you heal well, and they make sure you do the work! Great team, comfortable environment, Dr Young is exceptional. I'm so pleased. Thank you!"

Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils.
Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Oblique View.
Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Oblique View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Oblique View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Oblique View.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side View.
Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side View.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side Close Up View.
Before Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side Close Up View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side Close Up View.
After Revision Rhinoplasty for Crooked Tip, Crooked Nasal Bridge, Nose Bridge Dorsal Irregularities, Hook & Droopy Nasal Tip, Retracted Alae Nostrils Left Side Close Up View.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young



Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young



Before Revision Rhinoplasty for more Tip Refinement. This patient had 3 previous Rhinoplasties. This patient also had Jaw implants with Silicone Taylor Lateral Mandibular Implants

After Revision Rhinoplasty for more Tip Refinement. This patient had 3 previous Rhinoplasties. This patient also had Jaw implants with Silicone Taylor Lateral Mandibular Implants

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Revision Rhinoplasty for more Tip Refinement. This patient had 3 previous Rhinoplasties. This patient also had Jaw implants with Silicone Taylor Lateral Mandibular Implants

After Revision Rhinoplasty for more Tip Refinement. This patient had 3 previous Rhinoplasties. This patient also had Jaw implants with Silicone Taylor Lateral Mandibular Implants

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young


Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft | Implant and Tip Refinement Replacing Silicone Nasal Dorsal Graft and Goretex Tip Implant
Before Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft | Implant and Tip Refinement Replacing Silicone Nasal Dorsal Graft and Goretex Tip Implant
Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft | Implant and Tip Refinement Replacing Silicone Nasal Dorsal Graft and Goretex Tip Implant
After Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft | Implant and Tip Refinement Replacing Silicone Nasal Dorsal Graft and Goretex Tip Implant

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft
Before
After Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft
After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Before Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft
Before
After Asian Revision Rhinoplasty with Diced Ear Cartilage Fascia Nasal Bridge Graft
After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young

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