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It can take up to a full year for the residual swelling to die down after nose surgery, so patients are cautioned to avoid judging their results too early. However, if after this time the patient is still unhappy with the appearance of their nose or they are suffering from complications such as breathing obstructions, a revision procedure can be undergone to accomplish their original goals and improve overall quality of life.

Why Choose Peak Plastic Surgery Center?

Dr. Garrett Locketz is a Fellowship-trained Facial Plastic Surgeon who understands the leap of faith required for a patient to undertake revisions on an already costly and time-consuming cosmetic procedure. He takes his time to delve into each patient’s medical history, list of concerns with their nose, and expectations for their results in order to craft the ideal treatment plan that will restore well-being, confidence, and peace of mind.

Peak Plastic Surgery Center provides a world-class, safety-oriented practice setting outfitted with among the most innovative technology and a range of comforting amenities that make the office feel like a second home. From our spacious, state-of-the-art treatment suites and soothing reception area to the dedication and passion for concierge care of every team member, Peak Plastic Surgery Center has earned a reputation for excellence in the Denver, CO area and beyond.

What is Revision Rhinoplasty?

One of the most common reasons that patients pursue revision rhinoplasty is that they feel their surgeon did not go far enough in accomplishing their desired changes. Alternatively, the original provider may have gone too far and removed too much cartilage or bone, creating structural concerns that affect breathing and nasal function. Dr. Locketz has extensive experience in treating both of these scenarios and can correct even the most complicated cases, restoring the patient’s quality of life and self-image.

How is Revision Rhinoplasty Performed?

Dr. Locketz trained at among the most lauded and prestigious institutions in the nation, including Stanford University, UPenn, and NYU, where he completed an elite Fellowship with the world-renowned Dr. David Rosenberg, accredited through the American Academy of Facial Plastic and Reconstructive Surgery. This exhaustive educational background prepared Dr. Locketz for the challenging nature of revision surgery, which deals with the scar tissue left behind after previous procedures. 

Dr. Locketz will choose the most appropriate surgical techniques for each patient and will discuss his approach during a detailed consultation process. Revision rhinoplasty often calls for the implementation of cartilage and bone grafts taken from the ear or ribs. As much as possible, Dr. Locketz strives to use the same incisions as were employed during primary rhinoplasty in order to minimize scarring.

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What Can I Expect on the Day of My Surgery?

Anesthesia

General anesthesia or twilight sedation is administered by experienced, board-certified anesthesiologists, ensuring your safety and comfort during revision rhinoplasty in Denver. 

Incisions

Dr. Locketz will typically reuse the incisions employed during the primary nose surgery, either at the base of the nose across the columella or within the nostrils. In either case, he carefully minimizes scarring.

Monitoring

After surgery, the patient is carefully monitored for several hours by a registered nurse and then is transferred to a private suite. Once awake, the patient receives a personalized aftercare plan and medications for pain control.

What Can I Expect After My Surgery?

Swelling

After revision rhinoplasty, a splint may be placed on the nose to preserve its new shape. Swelling and nasal congestion are normal and will gradually subside over time. Residual swelling may persist for up to 18 months, but this is typically unnoticeable to anyone but the doctor and the patient.

Hydration

Dr. Locketz suggests that patients use a humidifier in their homes for the first several weeks after surgery. They can then be cleared to use a nasal spray with saline to keep the insides of the nose moisturized. This will help to reduce crusting and enhance the breathing process as the nose heals.

Resuming activities

Patients should avoid excessive facial movements and bending over for the first week after rhinoplasty. Most can resume work and normal activities within 7-10 days, although strenuous exercise should be avoided for 3 weeks, and contact sports should be postponed for up to 8 weeks.

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Who is a Candidate for Revision Rhinoplasty?

Dr. Locketz places patient safety as his top priority and will do in-depth analysis and evaluation before scheduling a patient for surgery. The screening process may include blood work, a physical exam, an EKG, and a medical history review. Older patients may also require x-rays. Once it is determined that the patient is a healthy non-smoker with realistic expectations for their results, Dr. Locketz will put their revision procedure on the books.

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