Dr. David W. Kim in San Francisco is an internationally acclaimed Facial Plastic Surgeon who uses advanced techniques and procedures that are the safest and most successful.


Revision Rhinoplasty

Rhinoplasty, or nose surgery, is one of the most likely operations to require a revision (re-do) procedure. Because of his reputation as a renowned facial plastic surgeon in San Francisco, Dr. David Kim is often called upon to perform revision rhinoplasty surgery through his practice for patients who wish to improve upon their previous results.

Depending upon the nature and severity of the problem and the techniques used by the previous surgeon, revision rhinoplasty can range from a minor surgery to one which is quite extensive. Dr. Kim has helped many individuals with disfiguring complications from previous nose surgery procedures. In such cases, use of cartilage grafting may be necessary, sometimes requiring obtaining cartilage from the ear or ribs. Understandably, these nose surgeries tend to be lengthier and more complex.

Background on Revision Rhinoplasty Surgery

Rhinoplasty is the most complicated operation in facial plastic surgery. Thus it is no surprise that nose surgery has one of the highest revision and complication rates of any facial plastic surgery operation. Because revision rhinoplasty seeks to correct problems created by a previous procedure, the surgeon and patient must have a clear understanding of the nature of the complications created from the original operation.

Due to the vast breadth of approaches and techniques that may have been used in the earlier nose surgery, a broad range of problems for which one may seek corrective procedures exist.

Patients who seek revision rhinoplasty may have any number of cosmetic complaints and nasal breathing difficulties. Small asymmetries or irregularities may occur as the result of minor errors of technique. These problems are relatively straightforward and more easily corrected than more serious problems. Large asymmetries, functional obstruction, and gross deformities are more likely to result from errors of judgment or lack of experience.

Pre-operative Evaluation

When Dr. Kim meets with a prospective revision rhinoplasty patient at his office in San Francisco, it is crucial that they discuss in detail the problems that led to the patient’s visit. Previous operative notes, rhinoplasty diagrams, and pre-operative and post-operative photographs may help in determining the nature and time ¬-course of the problems. Photographs may also reveal which problems resulted from the nose surgery and which problems predated the original surgery.

A thorough physical examination inspecting the state of the soft tissue covering and skin, the nasal cartilages, bones, and internal structures of the nose is critical. Based on all of this information, the patient and physician should prioritize goals and gauge how reasonable and achievable these requests are.

As with primary rhinoplasty, the use of photography and computer assisted imaging may be of great help in the discussion of cosmetic goals. Each specific problem should be discussed with regard to possible cause and prospects for repair.

Revision Rhinoplasty before and after
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In many cases, revision rhinoplasty patients suffer from some nasal breathing problems caused by previous nose surgery as well. Pinching or collapse of the external nose during breathing suggests that reductive surgery has led to narrowing and/or weakening of those structures in the nose that maintain breathing. Inspection inside the nose with a small endoscope may be helpful in determining the nature of the breathing problem.

Understandably, revision rhinoplasty patients have already undergone a period of disappointment regarding the appearance and/or function of their nose after surgery. They may have invested considerable energy and effort in considering revision surgery. Patients should understand that the greater the degree of baseline damage, the more limited will be the possibilities for improvement.

In many situations it is not possible for Dr. Kim to fully understand the extent of damage in the nose until exposure is gained during surgery. As such, it is not always possible to outline every detail of the revision surgery and expected outcome pre-operatively. As with all surgical procedures, revision, cosmetic and functional nose surgery should not be performed unless common expectations can be generally reached between patient and surgeon.

What are the risks?

The main complications of revision rhinoplasty are the same as in primary rhinoplasty. However, the risks of these complications occurring may be higher, depending on the severity of the problems being addressed. In particular, if there has been damage, thinning, or infection of the skin and soft tissue covering of the nose, there will be a higher risk of skin injury during revision rhinoplasty. Such injuries can lead to visible scar formation, pigmentation of the skin, or contour irregularities, especially at the tip and base of the nose. This is why it is so important to choose a facial plastic surgeon who is highly experienced to perform any procedure including rhinoplasty, facelift surgery and eyelid surgery.

See more before and after photos of rhinoplasty by David W. Kim, MD.

Schedule a Rhinoplasty Consultation Today

Dr. David Kim is widely regarded as one of the top rhinoplasty surgeons in the United States. If you have been considering revision nose surgery, contact his practice today at 415-773-0800 to schedule your comprehensive consultation.

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Why Dr. Kim Chose The Medical Field?

Dr. Kim's Philosophy On Beauty

Page 1

I Was Not Nervous

I Can Breathe Again

Page 2

Testimonial – Vanessa

Testimonial – Wanda

Page 3

Breathing Is Not Always Easy

Have You Seen It All?

Page 4

How Do You Keep Up With New Tech?

How Do You Treat Your Patients?

Page 5

How Much Downtime To Expect?

Many People Want Subtlety

Page 6

Millions Of People Can't Breathe

Most Drastic Example?

Page 7

People Should Be Treated Well

Reconciling Vision To Make People Happy

Page 8

Results Should Reflect Individual Desires

Talk About Philosophy On Beauty

Page 9

Talk About Your Personal Approach

The Asian Eye

Page 10

The Goal Is To Make Someone Happy

Transformation And Rejuvination

Page 11

What Do You Say To Someone Afraid Of Surgery?

Why Dr. Kim Got Into Surgery

Page 12

Dr. Kim's Professional Background

Page 13

Media Appearances

Thanks to his expertise, Dr. Kim has made numerous appearances on television, radio, in print publications and at professional conferences. He’s written and talked about topics ranging from mommy makeover to rhinoplasty to skin cancer removal. Please browse through Dr. Kim’s media coverage, which includes his groundbreaking “Study on Beauty.”