Revision Rhinoplasty Dallas

Rhinoplasty Model
View Before & After Photos

For most patients who have rhinoplasty the procedure is relatively straightforward. A patient may dislike a hump on the nose or that the nose “hooks” at the end. Dr. Byrd, a rhinoplasty specialist in the Dallas/Fort Worth, TX area, sees a relatively high number of patients who have already had one or more rhinoplasty surgeries elsewhere and are still unhappy with the look of their noses.

More importantly, some patients have had numerous surgeries and are left with breathing problems. There are also adults who had surgery as infants to address congenital cleft palate deficiencies. Dr. Byrd is one of the few surgeons in the United States who will evaluate and perform reconstructive surgery using cartilage grafts for patients who are left in these uncomfortable and unhappy situations.

Initial Evaluations

There is a very valid reason why Dr. Byrd is one of the few surgeons in Dallas performing revision nose surgery. That’s because in many cases, very little, if anything, can be done to correct the residual problems from a prior surgery. Surgery is not an option for every patient, and we make every effort to determine this early on, pre-screening patients before they commit to an in-office consultation. Dr. Byrd and his team are happy to evaluate each patient’s unique circumstances and determine if there’s a way for them to improve the patient’s current situation.

As part of the pre-screening, we ask patients to send in copies of their operative reports and pictures taken before and after each surgery. They’ll also be asked to send a detailed list of what they expect to achieve through another nose surgery. After Dr. Byrd and the medical team have had an opportunity to study this information, a decision is made whether to schedule a consultation with Dr. Byrd or to explain to the patient why another surgery would be ineffective in achieving their goals.

Read more to learn if rhinoplasty is right for you.

Cartilage Grafts in Secondary Rhinoplasty

For some patients who have had two or more rhinoplasty procedures, they are not only left with undesirable outcomes, but are often left with weakened, deformed, and/or malpositioned supporting cartilage. It is common for these patients to have internal scarring which can severely limit possible future corrections.

One of the biggest challenges in secondary rhinoplasty cases is finding appropriate replacement cartilage for the structures that have been weakened or removed in previous surgeries. Septal (nose) cartilage is always the first choice, but is rarely available in secondary rhinoplasty patients. The majority of the time, any possible septal cartilage was removed during the first surgery.

When septal cartilage isn’t available, conchal (ear) grafts are evaluated as an appropriate substitute. Conchal grafts are a good choice to use in small areas and where only light support is needed, or whenever “fill,” shaping, or camouflage is needed.

However, in many cases so much structural support of the nose has been removed that conchal grafts aren’t strong enough to support the necessary corrective surgery. In those cases, or whenever strong structural support is necessary, cartilage from the ribs is harvested and used to support and shape the nose.

Next Steps

Nose surgery can have a dramatic positive effect on your overall facial appearance. Save $100 on your consultation with Dr. Byrd when you request an appointment online or call our office at (214) 821-9662. Our compassionate care begins from your first phone call and follows you throughout your post-operative care and beyond.

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Dr. Steve Byrd

Board-Certified Plastic Surgeon

To visit our office use address:
9101 N Central Expy #560
Dallas, TX 75231



For mailing purposes use address:
9101 N Central Expy #600
Dallas, TX 75231
Tel (214) 821-9662
Fax (214) 828-2609

The American Society for Aesthetic Plastic SurgeryAmerican Society of Plastic Surgeons