Revision Rhinoplasty (2024)

Rhinoplasty is perhaps the most challenging of all plastic surgery procedures. Even in the best of hands, external deformities or breathing difficulties may occur after rhinoplasty. This is due to the complicated anatomy of the nose and the 'vagaries of healing'.

In such cases, when a second surgical procedure is undertaken, the experience of the surgeon becomes even more important. Dr. Most, as Chief of the Division of Facial Plastic and Reconstructive Surgery at Stanford University School of Medicine, has developed a significant regional referral practice for revision rhinoplasty in the San Francisco Bay Area and beyond. In fact, his patients have come from all over the West Coast, and from as far away as New York.

If you have had a rhinoplasty, and have problems with breathing or the external shape of your nose, a consultation with Dr. Most may help determine if you are a candidate for this procedure.

The procedure is usually performed under general anesthesia. Incisions are primarily internal, though a small external incision is sometimes used. The bone and cartilage of the nose is reshaped, and care is taken to preserve the breathing function of the nose. Dr. Most is often able to actually improve nasal breathing for his patients.

Patients may expect 5-7 days of swelling in the nose. Dr. Most uses absorbable sutures that do not need to be removed, and uses advanced techniques that allow him to avoid packing in most cases.

As a double-board certified Facial Plastic Surgeon, Dr. Most is uniquely qualified in surgery of the face, and the nose in particular. Dr. Most has many years experience and has served as Chief of Facial Plastic Surgery at two of the top medical centers in the United States. As of July 1, 2006, he is Chief of the Division of Facial Plastic and Reconstructive Surgery at Stanford University. Dr. Most is nationally recognized for his expertise in rhinoplasty surgery. He has written extensively on this subject, including work on improving surgical outcomes. He has contributed as lead author to the major textbook on Facial Plastic and Reconstructive Surgery on this topic, and his work in this area was recently selected for a 'best of' paper in Facial Plastic Surgery. In 2005, he has been a faculty member at the nationally recognized Rhinoplasty Course at OHSU in Portland, Oregon. A leader in the field, he has received nationalawardsfor his work. He performs hundreds of facial plastic surgery procedures each year. Hispatient commentsreflect his personalphilosophyfor excellence. Most recently, Dr. Most was elected by his peers for inclusion in Best Doctors in America® for 2007-2016.

You may request computer-assisted imaging to help you envision what a rhinoplasty can achieve for you.