Rhinoplasty is widely regarded as the most difficult operation in plastic surgery, and that reputation is well-deserved. Because it can be so tricky to do well, many patients who undergo rhinoplasty are dissatisfied with their outcome, so they seek further improvement or a total revision. While the first rhinoplasty is difficult, the second (and sometimes third or fourth) is even more challenging for the surgeon.

The Unique Challenges of Revision Rhinoplasty

Although every patient deserves the highest attention to detail and commitment to excellence, these more complicated noses require considerably more time and technical expertise to complete properly. Often, patients will have had their septums harvested, dorsums over-resected, and/or their tip cartilages almost completely excised. These issues pose special challenges for the surgeon undertaking a secondary rhinoplasty.

Dr. Hatef’s Skill in Revision Rhinoplasty

While chief resident at Baylor, I had the opportunity to perform 24 rhinoplasties of my own. Every one of these procedures was extremely challenging: the aesthetic cases I did were all revisions where the tissues were scarred and little cartilage graft remained; the traumatic cases all involved severely twisted noses and problematic deviations. Working at the veteran’s hospital and the county hospital afforded vital exposure to the most difficult noses. Through this training and background I’ve been able to offer the skilled capabilities to handle secondary and tertiary rhinoplasties with the hope of a good outcome.

If you are unhappy with a rhinoplasty you’ve had, or are having breathing problems and nasal deformity after an operation on your nose, come consult with me, and we will discuss your options and come up with an acceptable plan.