Among the various procedures Dr. Thomas A. Mustoe performs, rhinoplasty is perhaps the most complex and delicate. It is this challenge, though, that he finds rewarding, particularly for revision rhinoplasty patients. About a third of his nose job patients in Chicago visit him because they are unhappy with the results of a previous procedure performed by another surgeon. Patients and peer physicians alike rely on Dr. Mustoe's expertise in these more difficult cases. His approach can bring about long-awaited fulfillment for those who have struggled through disappointing results in the past.
A board-certified plastic surgeon, Dr. Mustoe specializes in revision nose surgery for both cosmetic and functional correction. To visit him and discuss your concerns, request a consultation online. Or you can call us at (312) 788-2560 and one of our helpful staff members will schedule your appointment.
Through extensive research and experience, Dr. Mustoe has developed several innovations for a better rhinoplasty procedure and result. These include:
The first step in the revision nose surgery process is a consultation in Chicago with Dr. Mustoe, where patients discuss their past rhinoplasty procedure or procedures. It's not uncommon for patients to have undergone more than one previous operation before turning to Dr. Mustoe, and some patients may have had their previous procedures many years in the past. Reviewing old records, if they are available, can be beneficial for planning at this time.
Dr. Mustoe asks numerous, detailed questions during this meeting to pinpoint the patient's exact concerns. He may also use various tests to scan the structures of the patient's nose. Through revision rhinoplasty, he can:
Dr. Mustoe understands that developing a trusting relationship is important for a patient's satisfaction, especially if that patient has had a previous unsatisfying experience. That is why he takes the time during this consultation to thoroughly get to know each patient and answer every question, so that he or she can feel confident and move toward a fulfilling experience. He has found that patient satisfaction is just about as high with revision rhinoplasty as with primary rhinoplasty. He strives for a very natural appearance and for individualizing each procedure to address the patient's aesthetic goals.
Dr. Mustoe uses many of the same techniques for revision procedures as initial, or "primary," nose surgeries. The difference, in many cases, is the presence of scar tissue or the lack of cartilage and other structures. In the case of excess scarring, Dr. Mustoe may need to remove some of this tissue to ensure results are not distorted.
For many revision patients, Dr. Mustoe must work to rebuild the structural framework of the nose because some of it was removed in the previous procedure. He may harvest cartilage from the ear or ribs and grafts of fascia (fibrous, connective tissue) from the temple area to build the nose back up before readjusting the overlaying tissues and skin. This ensures the nose remains strong and reduces any risk of collapse. However, in most cases of revision rhinoplasty, Dr. Mustoe is able to use residual nasal cartilages, including from the septum, even if the patient has had a previous septoplasty.
Dr. Mustoe generally uses an "open" technique for these more complex revisionary procedures, meaning he accesses the nose's structures through a small incision between the nostrils. Although revisionary surgeries are usually more complex than primary ones, Dr. Mustoe still performs them using local anesthesia with sedation for most patients. However, as with general anesthesia, the patient has no awareness or memory of the procedure, but he or she avoids the disadvantages of general anesthesia.
In addition to correcting any concerns that may have arisen from a patient's previous procedures, Dr. Mustoe's aim is also to maintain each patient's individual facial qualities. He takes a conservative, "transparent" approach that does not vastly change a person's appearance but does address specific concerns. As with all facial sculpting procedures, his goal is to enhance his patients' natural looks and create harmony between the features.
Learn more about Dr. Mustoe's rhinoplasty techniques on our FAQ page.
Revision rhinoplasty patients usually find that their recovery is similar to that of an initial procedure. However, thanks to Dr. Mustoe's use of local rather than general anesthesia and his vast research into wound healing, patients tend to feel quite comfortable during this period. Most of Dr. Mustoe's patients can return to their normal activities after only a week.
Patients wear a nasal splint during the initial days of their recovery, and they are encouraged to sleep upright to minimize swelling. Patients do not require nasal packing, and any bruising should fade quickly. Each patient receives detailed aftercare instructions for this period, and most find that the closer they follow these instructions, the faster they heal. Changes in the shape of the nose may continue to occur for up to year, and Dr. Mustoe carefully monitors progress during this time at follow-up appointments.