Personalized revision rhinoplasty results that achieve your primary cosmetic goals
While everyone hopes that their surgery will be performed correctly the first time, there are cosmetic and structural issues that sometimes occur with a primary rhinoplasty that need to be addressed with a second procedure. Revision rhinoplasty is a complex and delicate art form, best left to those surgeons who possess not only the superior technical skills and precision to deal with the scar tissue left behind, but also the artistry to create natural, balanced beauty in its wake.
Additionally, a revision rhinoplasty surgeon must earn the trust of a client who has already been gravely disappointed with their results. Dr. Montilla is excited to offer you options for revision surgery that will help you to achieve the cosmetic outcomes you originally sought, restoring your appearance, your peace of mind and your quality of life.
What is revision rhinoplasty?
There are many reasons why patients might pursue revision rhinoplasty. Sometimes it is due to the use of outdated surgical techniques, which either went too far and removed too much bone and cartilage from the nose, or didn't go far enough to make the desired changes in the bridge, tip and nostrils.
Sometimes the cosmetic appearance of the nose is satisfactory to the patient, but there are structural issues that present problems with both breathing and sleeping. Dr. Montilla understands the frustration that rhinoplasty patients may feel after their original procedure did not work out, and he is able to provide a compassionate approach which carefully reshapes the nose and ensures proper breathing.
What is the difference between open and closed rhinoplasty?
Dr. Montilla will choose either open or closed rhinoplasty to address your nasal revisions. During open rhinoplasty, a small and inconspicuous incision is made at the base of the nose between the nostrils in an area called the columella, which allows the doctor the greatest amount of access to the intricate nasal structures.
During a closed procedure, incisions will be made within the nostrils where they are invisible. Closed rhinoplasty is more appropriate for those requiring only minor changes to the bridge, tip or nostrils.
"Dr. Montilla understands the frustration that rhinoplasty patients may feel after their original procedure did not work out, and he is able to provide a compassionate approach which carefully reshapes the nose and ensures proper breathing. "
What are the benefits of revision rhinoplasty?
- Improved breathing
- Structural integrity in the nose
- Correction of cartilage or bone anomalies
- Refinement of the nasal bridge, tip or nostrils
- Improved self confidence and self-esteem
- A nose that is balanced and well-suited to your other features
Who makes a good candidate?
Some common reasons why patients pursue revision rhinoplasty include:
- They are having trouble breathing – Functional nasal problems can interfere with quality of life, causing not only difficulty breathing but also sleep troubles. Revision surgery may be able to correct the functional aspect of your nose while also improving its aesthetics.
- They are unhappy with the cosmetic appearance of the nose – If certain cosmetic goals were not reached with a primary rhinoplasty, a revision procedure may be able to achieve an outcome closer to the patient's ideal. Sometimes the first surgeon did not go far enough in removing imperfections in the bridge, tip or nostrils. If these changes cannot be made by using dermal fillers, a revision procedure may provide the satisfaction the patient seeks.
- They have undergone an accident after primary rhinoplasty – Accidents or injuries to the nose after a primary rhinoplasty can be extremely disappointing. Revision surgery can help to minimize the unwanted changes, reversing a crooked nose or minimizing a bump that was not there before. Accidents can also affect the inner structures of the nose, so Dr. Montilla will assess your nasal function during your consultation and make sure that you are able to breathe properly.
- In addition to these factors, anyone undergoing surgery should be in good mental and physical health, with no major medical conditions that might interfere with their procedure or its recovery. Clients should always be realistic in what they hope to achieve, and base their expectations on a frank discussion with Dr. Montilla during their private consultation.
What will my recovery entail?
Immediately after surgery you will need a friend or family member to drive you home. It might also be a good idea to enlist their help in performing household chores, child care or other tasks as you rest and recuperate for the next 7 to 10 days.
All surgical procedures come with some minor swelling, bruising and tenderness, but Dr. Montilla will make sure you are completely comfortable with ample pain medications. You may have to wear a splint on the outside of the nose for the first week or so.
Most clients return to work within about a week, but you should take care to avoid vigorous exercise for at least two weeks in order to give the nose the best chance at healing properly. After about six weeks, the most significant swelling and bruising will have completely vanished. You will be enjoying the results of your revision rhinoplasty at this time, however it's important to remember that the final appearance of the nose will not be apparent until at least 12 months post-op.
Why choose Dr. Montilla for revision rhinoplasty in Boston?
After graduating from the University of Santo Tomas Medical School, Dr. Mantilla completed a general surgery residency at Temple University in Philadelphia, as well as an elite Fellowship in Plastic Surgery at the University of Massachusetts. He is a member of the American Society of Plastic Surgery.
Dr. Montella is passionate about delivering sophisticated, and natural looking rhinoplasty results. He is especially experienced in revision techniques, having trained with among the world's most renowned facial plastic surgeons such as Timothy J. Marten, MD, and Dr. Ronald Iverson, MD.
While revision rhinoplasty is known throughout the medical community as among the most challenging and complex procedures, Dr. Montilla’s skill and artistry are virtually unsurpassed in the Boston area and beyond. He's excited to speak with you today about delivering a balanced and harmonious rhinoplasty result that is well suited to the rest of your features.
Practice Policy Update Regarding COVID-19
Dear Patients & Visitors
To limit the spread of COVID-19 and to keep the community and our patients healthy, Montilla Plastic Surgery is in compliance with CHCs guidance for the Commonwealth's Reopening website. Please see our Phase 1 Reopening Attestation.
In addition to the CHC guidelines, we are taking the following precautionary measures effective immediately:
- All patients are asked to contact our office 508-948-4030 at least 24 hours prior to their appointment.
- Any patient with symptoms of illness such as cough, fever, difficulty breathing, or upper respiratory symptoms must reschedule their appointment by calling 508-948-4030.
- Notify staff immediately if you have traveled or have been in potential contact with a person known to have or suspected to have COVID-19.
- At this time, patients may schedule an appointment in the office, and Dr. Montilla is available for telemedicine consultations and follow-ups as well.
- Only patients will be allowed in the office and the exam rooms. Individuals accompanying the patients will be asked to wait in their cars. The only exceptions will be:
- Patients who are minors (only one parent allowed to accompany the child)
- Caretakers for Non-ambulatory or informed patients requiring assistance (only one allowed)
- Governor Baker has put a mandatory moratorium on all elective surgeries beginning Wednesday, March 18th and continuing for at least the next two to four weeks.
- All employees at Montilla Plastic Surgery will adhere to the Center for Disease Control and Prevention (CDC) and Massachusetts Department of Health and Human Services community mitigation strategies related to COVID-19.
- CDC has identified older adults and those who have serious chronic medical conditions as high risk for getting very sick from COVID-19. Please notify our staff immediately if you wish to reschedule your appointment to a later date.
For more information about COVID-19, please visit CDC website, www.cdc.gov/coronavirus/2019-ncov/index.html
Thank you for your understanding and compliance to these limitations as we work together to ensure the highest level of health and safety for our patients, staff and community!