Revision Rhinoplasty in Atlanta, GA
If you’re unhappy with the results of a previous nose surgery whether due to cosmetic appearance, breathing issues, or a nose that simply doesn’t feel like you then you’re not alone. At Aviva Plastic Surgery in Atlanta, Dr. Inessa Fishman specializes in revision rhinoplasty to help restore both form and function with advanced techniques and an artist’s eye for facial balance.
Natural, Elegant Results for a Nose That Looks and Feels Right
Why Choose Revision Rhinoplasty with Dr. Fishman?
Revision rhinoplasty is one of the most challenging surgeries in plastic surgery. It takes a certain kind of expertise and a level of experience as well as a true appreciation for form and function.
Facial plastic surgeon Dr. Inessa Fishman’s focus on natural looking and minimally invasive nose surgery techniques has evolved based upon her experience as an Otolaryngology/ Head and Neck surgeon and remains in step with today’s leading-edge methods.
Whether you are having difficulty breathing, think that you look unnatural, or believe that you don’t have the nose you were always meant to have, our mission is to help you take pride in your reflection once again. Our progressive treatments and technologies which include autologus and cadavaric rib cartilage grafting, fascia grafting, nanofat skin restoration, piezo rhinoplasty and preservation rhinoplasty procedures will provide you a beautiful long-lasting result.
Let’s talk about what’s possible.
Before + After Revision Rhinoplasty
Benefits of Revision Rhinoplasty
Revision rhinoplasty, also known as secondary rhinoplasty, offers several important benefits including:
- Improve the appearance of a previously operated nose
- Correct breathing problems or nasal obstruction
- Address scarring, asymmetry, or collapsed structures
- Rebuild missing support using cartilage grafts
- Deliver results that feel right and look beautifully balanced
Dr. Fishman is an artist! My revision rhinoplasty was nothing like my initial surgery--I didn't bruise and only took Tylenol because I was told to do so by the Aviva team. It took me years to build up the courage to have my nose revised, and in retrospect, I'm happy for this time because it brought me to Dr. Fishman. I couldn't be happier with her skills, her artistic vision, and her thoughtful approach to me and my wants and needs. I can breathe! My nose looks amazing! I feel like this is the nose I was meant to have all along.
Revision Rhinoplasty Frequently Asked Questions
Revision rhinoplasty is nose surgery that helps correct or improve the results of a previous nose job. It can improve the look, shape, or function of the nose. Revision rhinoplasty often addresses the external nose anatomy (the term “rhinoplasty” means to change the shape of the nose) as well as the nose septum (the inside partition of the nose which splits it into 2 nostrils or airways).
Some people are unhappy with how their nose looks after their first (or subsequent revision) surgery. Others may have trouble breathing, or feel their nose doesn’t match the rest of their face. Revision surgery can help address these issues by restoring nose tip support, removing excess scar tissue, rebuilding nose structures previously excessively removed, straightening a deviated septum, and many other treatment options.
Revision or secondary (or tertiary, etc) surgery is more complex than primary nose surgery. Scar tissue, weakened cartilage, or missing support structures can make surgery more difficult. That’s why it’s important to choose a surgeon with special experience in revision rhinoplasty. Regular follow-up during revision rhinoplasty recovery is also important to a predictable and favorable treatment outcome. Â
Yes, that is our goal. Dr. Fishman uses careful planning and artistic skill to create elegant, natural-looking results. Your nose should fit your face and look like it was always meant to be there.
Yes. Many people come to us because their first surgery made breathing harder, or did not improve breathing problems present before initial rhinoplasty surgery. We focus not only on how your nose looks—but also how well it works. Nasal breathing is the most natural way to breathe, and it impacts our overall wellness, sleep, energy levels, ability to smell and taste the world around us. We focus our revision rhinoplasty techniques to support the nose in breathing while also addressing aesthetic concerns.
We use advanced techniques such as:
- Rib cartilage grafting to rebuild nose structure
- Fascia grafting to smooth or support tissue
- Nanofat skin therapy to improve scarred or damaged skin
- Piezo technology, gentle bone reshaping with ultrasonic cutting tools
- Preservation rhinoplasty to keep more of your natural anatomy
If we need rib cartilage, we usually take a small piece from your own rib through a tiny incision within the chest and placed within the fold under the breast. Most patients do very well with this, reporting several days of soreness which is manageable with anti-inflammatory medications. Your own or autologous rib cartilage tissue helps us build a strong, natural-looking nose. If you and Dr. Fishman decide not to use your own rib cartilage (due to patient preferences, or surgical contraindications noted by Dr. Fishman)
Healing takes time. While some people notice improvement immediately after surgery, it can take 12 to 18 months for all swelling to go down and for the final nose shape to appear. Factors like skin thickness and oiliness, age, and tendency towards forming excessive scar tissue also contribute to the healing time for revision rhinoplasty