Revision Rhinoplasty Surgery: Fixing a Bad Nose Job –

Successful rhinoplasty involves both art and science to achieve a nasal shape that is beautiful, natural and structurally sound for the rest of your life. Unfortunately, many women and men have experienced unsatisfactory and extremely disappointing results from inexperienced or unskilled surgeons.

And in 2021, many people are now forced to confront their own appearance concerns, thanks to the pervasiveness of Zoom appearances – for work, school, connecting with loved ones, socializing and even masking romantic connections. It’s simply hard to ignore a nose you are unhappy with, when the camera is on you all the time. For this reason, we are seeing an increase in requests for revision of rhinoplasties that were previously performed by less skilled doctors.

The great news is that – like any medical technology – advancements have been made over the last several decades in rhinoplasty that replace older procedures with newer and better techniques!

In cases where you are unhappy with a nose job you previously had performed, revision rhinoplasty surgery by a talented, experienced and caring plastic surgeon like Dr. Ali can correct some or all of the damage done by the original rhinoplasty. Dr. Ali uses state of the art techniques – and years of experience – to perform revision rhinoplasty that can correct problems with old “nose jobs” and deliver more beautiful and natural results.

Reasons for Bad Nose Jobs

An unfavorable cosmetic outcome of a nose job can be due to a wide range of causes, but poor technical execution by the surgeon is often to blame. Unfortunately, in the early years of “nose jobs”, the only way surgeons knew how to alter the shape of the nasal tip was the aggressive removal of cartilage. This type of “excisional rhinoplasty” often resulted in the nose becoming progressively deformed over time – because the supporting cartilage had been removed.

And, sadly, many incompetent surgeons still “go to far” with nose jobs – resulting in a very unnatural “plastic-surgery” look, as well as structural defects that cause malformation over time.

Additionally, in previous decades of nose job surgery, many surgeons tried to achieve a single type of “ideal” nose shape for all patients – shortened and turned up on the end. While this nose shape may look proportionate or “cute” on certain women, it does not take into consideration the ethnic heritage of the patient. A “Caucasian nose” may not only look out-of-place on an Asian or African American individual, but can also erase a person’s important ethnic identity.

Michael Jackson’s aggressive rhinoplasty surgery is a classic example of a nose job that “went to far” causing structural problems, as well as compromising his racial identity.

In other cases, a “bad nose job” may be the result of a medical issue, such as infection, scar formation, skin contracture or tightening that pulled on the tip, or even warping of the cartilage that changed the shape. And even a “good” nose job can go “bad if the nose is subsequently injured by an accident, a fall, a blow, or during athletic activities.

Choosing the Right Revision Rhinoplasty Surgeon

The good news is that, whatever the cause, when a rhinoplasty “goes bad” revision rhinoplasty by a skilled plastic surgeon like Dr. Ali can help restore your appearance and correct structural defects. Dr. Ali is trained in the most advanced “endoscopic” techniques – meaning he can perform many rhinoplasty revisions with minimally invasive techniques that involve tiny incisions and almost no scarring.

And, Dr. Ali is also skilled in using certain injectable fillers to adjust and correct proportions and symmetry – in some cases revising the nasal profile, without surgery altogether! Dr. Ali also understands the unique nasal characteristics of different ethnicities – and he has the skill and experience to enhance your beauty, while retaining a natural appearance that doesn’t change “who you are”!

3D Vectra Nose Job Imaging

Dr. Ali is one of only a few plastic surgeons in the entire Birmingham and greater Detroit area to offer state-of-the-art Vectra 3D facial imaging technology. Using digital imaging Dr. Ali can show you what your nose will look like after your nose job or revision rhinoplasty surgery. This enables patients to visualize their expected results – so they can decide if, when and how they would like to proceed with surgery or other revision procedures.

Risks of Revision Rhinoplasty

In general, a first time or “primary” rhinoplasty is extremely routine and exceedingly safe – and serious complications are quite rare and can be treated effectively.

However, a secondary or revision rhinoplasty is always associated with higher risks, because the nasal tissues have previously been affected by prior surgery. In addition to pre-existing inflammation from prior surgery, there is typically also increased subcutaneous scarring, diminished blood supply and reduced skin elasticity. And, in the case of excisional rhinoplasty there may also be damaged or missing cartilage and other skeletal elements.

That is why it is extremely important to choose a highly skilled, experienced board certified plastic surgeon like Dr. Ali for revision rhinoplasty surgery.

Board Certified Revision Rhinoplasty Surgeon

As with anything else, it is always easier to do something right the first time, rather than try to fix something that was done poorly and improperly. In some cases, an existing nose job’s deformities are so severe as to require multiple surgeries to normalize the nose. In other cases a misshapen nose cannot always be completely reconstructed into a “perfect nose” – but substantial improvement is almost always an option in the hands of a skilled, Board Certified plastic surgeon like Dr. Ali.

But in the vast majority of cases, Dr. Ali can reconstruct your nose into a shape, proportions and symmetry that complements your facial features, and leaves you satisfied with your appearance. And Vectra 3D imaging technology in our Birmingham office takes the “guess work” out of knowing what your results will be!

Birmingham’s Best Revision Nose Job Surgeon

If you are suffering from an unsuccessful or “botched” nose job, call Birmingham Board Certified Plastic surgeon Dr. Ali for a evaluation and consultation.  He will help you set realistic expectations, and explain your surgical options for correcting your previous nose job – ensuring that you achieve the best possible rhinoplasty results in your situation.

Revision Rhinoplasty Consultation | Birmingham: 248-335-7200

A Complete Guide to Rhinoplasty Surgery (Part II)

When a person decides to get rhinoplasty, they’re making a choice that will impact the remainder of their lives. Such a big decision requires first acquiring all necessary knowledge regarding the procedure.

In Part II of our Complete Guide to Rhinoplasty Surgery, board certified Troy, MI plastic surgeon continues to discuss everything a prospective patient needs to know before visiting us for rhinoplasty.

CLICK HERE for Part 1 of The Complete Guide to Rhinoplasty Surgery

The Rhinoplasty Surgery Procedure

At AMAE Plastic Surgery in Troy, MI, most of our rhinoplasty procedures are performed on an outpatient basis. There are two distinct methods of performing the procedure: Open Rhinoplasty and Closed Rhinoplasty. While both methods involve making an incision in the internal nostril region, Open Rhinoplasty also includes an additional, external incision on the tissue dividing the nostrils.

The skin of the nose will then be “undraped,” allowing for visibility of the nose’s inner structures. Open Rhinoplasty allows for substantial changes to be made to the nose, and is most commonly performed either to correct a previous, “botched” procedure, and on patients whose noses have a particularly challenging anatomy.

During Closed Rhinoplasty, on the other hand, no external incisions are made. With them all instead made inside the nose, Open Rhinoplasty is less likely to result in scarring. However, the results of Closed Rhinoplasty are considerably subtler than Open Rhinoplasty.

Board certified plastic surgeon Dr. Ali carefully determines the method of rhinoplasty best suited to meet his patients’ needs, and has an outstanding track record performing countless instances of both Open and Closed Rhinoplasty.

Rhinoplasty Surgery Recovery & Downtime

While no two cases of rhinoplasty are ever the same, most cases of both open and closed rhinoplasty are followed by at least one-to-two weeks of downtime. Most Closed Rhinoplasty patients experience the most rapid period of recovery within 5 to 6 days, after which time they are free to remove the splint from their nose and resume their normal daily routine.

But although rhinoplasty patients usually experience a relatively quick period of initial recovery, their complete healing process can continue for as long as one to three years. Since the skin of the nose requires time to shrink to its new, underlying framework, the total healing process is longer than many other forms of cosmetic surgery.

But while rhinoplasty patients do experience a recovery period longer than other plastic surgery patients, they generally also experience less pain. While rhinoplasty usually results in a fair amount of bruising and swelling, patients routinely report any pain following the procedure to be surprisingly tolerable. To ensure his rhinoplasty patients experience as little pain as possible, board-certified Troy, MI plastic surgeon Dr. Ali gladly recommends and prescribes appropriate pain medications.

Choosing a Rhinoplasty Surgeon

Be it rhinoplasty, open heart surgery, or anything in between, no surgery whatsoever can be successfully performed unless carried out by a skilled, certified, and experienced surgeon.

For anyone in the Troy, MI area looking for the right rhinoplasty surgeon, the choice is simple: board-certified plastic surgeon Dr. Ali. Dr. Ali’s years of experience in the field of cosmetic surgery poise him as the area’s leading provider of rhinoplasty.

Dr. Ali carefully and precisely provides his rhinoplasty patients that both meet their aesthetic goals, and maintain or improve their noses functionality. Choosing the right surgeon is perhaps the most important decision a person must make after deciding to get rhinoplasty. In selecting Dr. Ali, patients are guaranteed to have made the right choice.

Rhinoplasty Surgery – Troy, MI Area

At AMAE Plastic Surgery in the Troy, MI area we are thoroughly committed to providing all of our rhinoplasty patients with the best treatment experience possible.

If you live in the greater Troy, MI area – and you’re ready to look and feel great about your nose with rhinoplasty – call AMAE Plastic Surgery today to schedule a consultation.

Troy, MI area Rhinoplasty Surgery Consultation: 248-335-7200

How to Choose a Rhinoplasty Surgeon– 

Deciding whether to have rhinoplasty surgery, also called a nose job, is a huge decision. Rhinoplasty will permanently alter your appearance – in fact, you will see the results every time you look into a mirror. Therefore, it is critical that you choose a surgeon who is experienced, skillful, and artistic; a surgeon who will leave you with a nose that is attractive, in correct proportion to your other facial features, that is balanced, and that looks completely natural.

Dr. Azhar Ali, a prominent board certified plastic surgeon in the Troy, Michigan area, who extensive experience and training – as well as thousands of satisfied plastic surgery patients. Dr. Ali is also a Fellow in the American College of Surgeons, and has been rated Top Doc by Hour Detroit Magazine multiple years in a row.

In this article he discusses what to look for when selecting a rhinoplasty surgeon.

Choosing a Qualified Rhinoplasty Surgeon

Surgical skill is crucial to a positive rhinoplasty outcome. Choosing a surgeon with the right experience and training is extremely important. Less qualified physicians may use poor or outdated surgical techniques which are almost guaranteed to lead to disappointing results and in some cases, even physical deformity.

It may seem difficult to believe, but some surveys report that a major factor in choice of surgeon is that he or she be conveniently located near the patient’s home. Making the choice based on location is extremely risky. You may be lucky enough to have a talented rhinoplasty surgeon nearby, but since it is such a specialized area of medicine, you may need to venture further from home to find someone with the right qualifications.

What Types of Surgeons Can Perform Rhinoplasty Surgery

Many people don’t realize that surgeons from a variety of medical specialties may perform rhinoplasty, including general surgeons and ear, nose, and throat (ENT) surgeons. However, while they may be well-versed in the technical aspects of rhinoplasty surgery, studies are clear that the most successful cosmetic nasal surgeries are performed by plastic surgeons with board certification.

If you are solely interested in alleviating breathing problems, you may assume that consulting a board certified ENT surgeon is your best option. However, while an ENT surgeon may be skilled at sinus and functional nasal airway surgery, when it comes to altering the actual appearance of your nose, you’ll generally want to choose a plastic surgeon.

What Board Certification Means Why It’s Important for Rhinoplasty Surgeons

Board certification indicates that the surgeon has received additional training beyond what is required to hold a medical license. To be certified means that a surgeon has met the highest standards of education, training and knowledge in a specific field of surgery. Board certification is voluntary and demonstrates a surgeon’s commitment to quality patient care.

Other Factors to Consider in a Rhinoplasty Surgeon

While board certification indicates that a practitioner has surpassed the knowledge-based examination requirements for a particular specialty, it alone does not give a full picture of a physician’s technical and artistic skill, experience, ongoing educational enrichment or personal integrity. In fact, there is no completely foolproof way to assess whether a particular surgeon is the one for you. However, there are a number of factors to consider, and when put together with proper board certifications, you can get a fairly complete picture as to a surgeon’s competence and expertise.

Your rhinoplasty surgeon should also have no history of disciplinary procedures or malpractice claims against him or her. And they should make available to you dozens, if not hundreds, of  “before” and “after” photographs of their satisfied rhinoplasty patients whose procedure your surgeon personally performed.

Additionally, reputation and recognition of your surgeon’s peers – including published papers, awards, lecturing, etc. – can say alot about your rhinoplasty surgeon. Finally, the surgeon should have performed hundreds of rhinoplasties – and not just do rhinoplasty as a sideline to a different type of medical practice.

Best Troy, MI Area Rhinoplasty Surgeon

Troy, Mi board certified Rhinoplasty Surgeon Dr. Ali meets all of the above criteria and more. He has the experience, artistic skill and technical expertise to help you choose a nose that will enhance your appearance and accomplish your goals, as he has done with a host of satisfied patients.

If you live in or near the Troy, Michigan area and are considering rhinoplasty, give us a call to schedule an appointment with Dr. Ali. He will offer you a consultation to assess your nasal structure and discuss your appearance goals.

Dr. Ali has helped hundreds of women and men love their noses and improve their confidence with successful rhinoplasty surgery. Get the nose you have always wanted with rhinoplasty surgery,  and be the best version of “you” that you can be!

Schedule a Troy, MI area Rhinoplasty Consultation: 248-335-7200

 

 

Rhinoplasty FAQs (Part 2)

Dr. Azhar Ali is a prominent board certified plastic surgeon in the West Bloomfield, Michigan area, with decades of experience and a host of satisfied patients. Dr. Ali is a Fellow in the American College of Surgeons, and has been rated Top Doc by Hour Detroit Magazine multiple years in a row.

In this second section of a two-part article, Dr. Ali further discusses questions you may have about a rhinoplasty procedure, including what you might expect in terms of preparation and recovery.

CLICK HERE FOR PART 1 OF RHINOPLASTY FAQS

While this article answers some questions, no doubt you have more. Rhinoplasty is complicated, and the results will be evident for all to see. Therefore, it is important to select a surgeon in whom you have confidence, who will take the time needed to put you at ease, and with whom you feel completely comfortable. If you are in the greater West Bloomfield, Michigan area and are considering rhinoplasty, schedule a consultation with Dr. Ali to discuss your unique situation.

What do I need to do to prepare for rhinoplasty surgery?

In an extensive appointment before your rhinoplasty procedure, Dr. Ali will discuss in detail exactly what you can expect from your surgery. He will tell you what he believes will be the best methods that will most likely give you the results you desire. He will then tell you exactly what to do to prepare for your surgery. Some common instructions include the following:

Some medications such as aspirin and ibuprofen inhibit blood clotting or increase the risk of postoperative bleeding. You will need to stop taking these prior to the surgery.
If you are a smoker, you will need to stop at least a month before your surgery and plan on remaining smoke-free until at least a month afterward. Smoking can inhibit the healing process, which lengthens your recovery time. In fact, you might consider using your rhinoplasty procedure as an excuse to quit smoking altogether.

What can I expect during rhinoplasty recovery period?

Before you leave the facility, Dr. Ali will provide you with clear, detailed aftercare instructions for you to follow, covering such things as wound care and pain management. It is important to follow the instructions carefully and completely.

Surprisingly, the normal recovery period is not as hard as you might think. Most patients describe feeling like they have a stuffy nose or sinus headache. You should expect some swelling of your nose underneath your bandages, and perhaps some bruising under your eyes. These usually disappear within a week or so.

What happens during the rhinoplasty procedure?

You will be placed under either a local anesthesia and intravenous sedation or a general anesthesia. Depending upon the extent of the procedure, Dr. Ali will either make an incision within your nostrils (closed rhinoplasty) or in the strip of cartilage and tissue that is located between your nostrils (the columella). This is called an open rhinoplasty, and provides greater access to the inner structures of the nose. Once the incision is healed, it is virtually invisible.

Dr. Ali will then remove excess cartilage, restructure the nasal bone, and correct any defects that are present that interfere with nasal function (such as a deviated septum). If your nostrils need to be reshaped, Dr. Ali will take care of it during the same procedure. Depending on the complexity, the surgery will usually take about three to four hours from start to finish.

What will my first few days at home after rhinoplasty be like?

You will need to have someone drive you home from your surgery since you will have been under anesthesia. You may experience some drowsiness and lightheadedness.

While you’re at it, see if your friend or family member can stay with you for the first night or so. You will likely be very tired and will just want to rest. So having someone help with meals and taking care of the children if you have them is extremely helpful.

For the couple of weeks, you’ll want to keep your head elevated, including during sleep. This helps the healing process. And of course, it is important to avoid any contact with your nose so it can heal properly.

And speaking of children, if you do have them, it’s important that they keep their distance – since you will be out of commission for a while, it’s natural for them to want hugs and reassurance. But be careful – you don’t want your nose to be jarred or bumped!

CLICK HERE FOR PART 3 OF RHINOPLASTY FAQS

Rhinoplasty Surgery – West Bloomfield Area

Even small changes to your nose, when done by an experienced, skilled and artistic rhinoplasty surgeon,  can make a large difference in how you look – as well as how your nose works, and how you feel about your overall appearance. West Bloomfield area board certified plastic surgeon Dr. Ali is committed to working closely with you from start to finish to get the life-changing results that you will be thrilled with.

When planning your rhinoplasty surgery, West Bloomfield area surgeon Dr. Ali can evaluate your other facial features and tell you how any changes to your nose could enhance or affect your overall appearance. He will then work with you to customize a surgical plan that will best meet your appearance goals – for a better, more beautiful version of you!

West Bloomfield Area Rhinoplasty Consultation: 248-335-7200