Rhinoplasty Revision Surgery | Sacramento, CA

Dr. Richard Clark is an experienced and skilled plastic surgeon who has performed many incredibly successful nose, body, breast and face surgeries. To schedule your consultation with Dr. Clark, Contact Us or Call Us at (916) 925–3912.

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Rhinoplasty is a very delicate procedure that requires highly specialized skills and artistry. Individuals with unsatisfactory results from a previous rhinoplasty can undergo secondary or revision rhinoplasty with Dr. Richard Clark. Rhinoplasty is a very delicate procedure, and revision rhinoplasty is even more delicate. For a secondary rhinoplasty, it is crucial to select a surgeon who specializes in revision rhinoplasty because it requires even more careful and precise techniques than primary rhinoplasty. Dr. Clark is well-qualified to perform revision rhinoplasty to correct poor results or minor shifts in the results from your primary rhinoplasty. Approximately half of Dr. Clark’s rhinoplasties are to improve a patient’s disappointment following a surgery elsewhere.

How Revision Rhinoplasty Differs From Primary Rhinoplasty

Scar Tissue: The surgeon must deal with existing scar tissue from the primary surgery, which can complicate both the revision surgery and the patient’s healing process.
Soft Tissue: The soft tissues of the nose need to be handled very carefully in revision rhinoplasty because they do not always respond well to the swelling and inflammation after secondary surgery. The blood supply to the skin is possibly compromised, yet Dr. Clark has success even following multiple prior operations.
Creativity: More creativity and artistry is needed to correct nasal structures and tissues that have already been surgically altered.
Grafts: Tissue grafts may be necessary to improve nasal shape after a primary rhinoplasty.
Reshaping: With revision rhinoplasty, it may be necessary to reshape the entire nose in order to correct the previously undesirable results.
Time: As a general rule, prospective patients should wait a full year after their primary rhinoplasty before undergoing revision rhinoplasty, yet there are adjustments that are safe to perform as early as six months. The revision rhinoplasty procedure and the recovery period may both be longer than primary rhinoplasty. For some individuals, it may take two years to heal completely from revision rhinoplasty.

Dr. Clark can perform revision rhinoplasty to achieve more pleasing, natural-looking results. Revision rhinoplasty can help to increase your self-confidence and achieve better harmony with the rest of your facial features.

How to pick your second nose surgeon for Revision Rhinoplasty

Since one third to half of the noses I operate on have been the disappointing result of poor choices by the patient in selecting an initial surgeon, it is wise to do your research at the front end. However, if you have had an unfortunate result, these tips will prove valuable:

Make sure your doctor is not just good, but particularly good at Noses AND ESPECIALLY GOOD AT REVISION RHINOPLASTY.

You may know someone who has had a nice rhinoplasty by a surgeon and recommends that doctor because of the good result and bedside manner. I do agree that if this surgeon has done very good work with primary rhinoplasty, they should be put on the list of surgeons to visit. But no matter who you see in consultation, please ask that they show you evidence of success with revisions.

Ask to see nose job surgery before and after pictures and results of poor previous rhinoplasty that have been nicely improved.

Be even more careful choosing a revision surgeon than you would be for a primary surgery. Try to avoid the tell tales signs of an”operated “looking nose. If that surgeon who did that excellent job is too distantly located, you could call his office and ask the staff to ask him who he would recommend for specifically Revision rhinoplasty in your town or area. No matter who you see in consultation, a good question to ask is: “ Doctor, if I was your relative. who in this area would you send me to for the best revision rhinoplasty…or ….who and where would you send me?

Only Plastic Surgeons and ENT docs are appropriately trained in nose surgery.

You should limit your search to within these two specialities. Remember that there is no actual medical specialty called Cosmetic Surgery. I know this gets confusing because there are many doctors from Dermatologists to Dentists who are now calling themselves “plastic surgeons”. Don’t be fooled by credentials on the wall, because even an Oral Surgeon dentist in some states can legally do a nose job in the hidden privacy of their office. The plaque on the wall may say they are board certified by some organization (i.e. American Board of Cosmetic Surgery) that sounds good but is not acceptable to real plastic surgeons and ENT doctors.

If you see a true plastic surgeon (board certified by the American Board of Plastic Surgery,founded in 1936, and the only plastic or cosmetic surgery board recognized by the American Board of Medical Specialties) ask the doctor who else is an excellent revision rhinoplasty surgeon.

Ask him/her to consider not only in his specialty but who he thinks is an excellent ENT (Ear, Nose and Throat) specialist who does excellent revision rhinoplasty. Just as there are some plastic surgeons who are better at cosmetic rhinoplasty than some ENT doctors (who might be great at tonsils and sinus surgery, etc.) there are also some ENT (Otolaryngologist, Ear, Nose and Throat) doctors who do better nose jobs than some of the plastic surgeons (who might be best at breasts and facelifts, etc.)Since this is my website, I will make a plug for the fact that I am Board Certified in both ENT and Plastic Surgery, which is the most training possible relative to the nose.

See two to three or more consults and compare their pictures

the quality of the consult, the amount of dedication and experience that they have with revision a poor rhinoplasty.

Make sure the doctor truly examines and learns about your nose

It is hard for me to imagine how a surgeon can sit across a desk from you and decide what to do to your nose. In addition to asking questions about your history, desires for change in appearance and alleviation of possible breathing problems, the doctor needs to touch your nose, feel it, measure it and look inside it. With the same degree of planning that you expect from an architect that is simply re-designing the roof line of your house, you should expect at least that much thinking and planning to go into changing the most prominent feature of your face.

I don’t think it is mandatory, but it helps if the doctor uses an imaging computer to show you what he thinks he can accomplish

while learning from you what you think you want; and the doctor, not a nurse, needs to do this with you. The artistry the surgeon demonstrates at this time can be very reassuring to you. Be sure to ask him if the computer changes are actually realistic and do-able. Of course, you must understand that the image produced on a computer can only act as a guide and can’t be considered a guarantee. Yet, if you do not have a map that both you and the surgeon agree upon, are you even going to get close to your destination?

Dr. Clark will meet with you during your consultation to discuss your previous surgery and assess your medical history, nasal tissues, and other relevant factors to ensure that revision rhinoplasty yields the best possible results. To schedule your consultation with Dr. Clark, contact him at (916) 925–3912.