Introduction

Dr Dan Robinson has performed over 1500 rhinoplasties and has a collection of revision procedures which he refers to as advanced revisions. These revision cases would not be out of place on the TV series “Botched” and require a very large amount of operative time and multiple techniques to get the desired outcome. All these cases required more than 3 hours of operative time, and one case took 6 hours.

Procedure

Dr Robinson never rushes these cases and takes the time required to get the correct result. Some examples of causes requiring patients to undergo an advanced revision include:

• Trauma to the nose after a rhinoplasty.
• Rejection of foreign body after earlier rhinoplasty.
• Significant post-operative infection.
• Multiple earlier operations (in one case 22 procedures).
• Multiple operations performed overseas (e.g.: Thailand).

These cases need to be undertaken by an experienced surgeon who takes an approach of meticulous pre-operative planning, open-ended intraoperative time, and diligent post-operative care.

Patient emotions are understandably very high during these operations as patients will have had multiple adverse outcomes. If you do end up needing an advanced revision rhinoplasty with Dr Robinson, he will guide you through the process and do everything he can to ensure you get the desired outcome.

The degree of scar contracture can be so great before the advanced revision that Dr Robinson may require you to stretch the skin of your nose to break down the fibrous adhesions under the skin. There are multiple techniques that Dr Dan Robinson may utilise to achieve the desired result, including:

• Rib grafting.
• Endothoracic fascia grafting.
• Microfat stem cell grafting.
• Tissue expanders.
• Septal flaps.
• Vestibular skin flaps.
• Composite grafting.
• Articulated grafting.
• Sill dilation.
• Alar repositioning.
• Lip lengthening.
• Microdrill bone fragment refinement.
• Piezoelectric refinement.
• Extended stenting.
• Dorsal augmentation.
• Contour irregularity camouflage grafting.

Dr Robinson has had advanced fellowship training in rhinoplasty and is the only facial plastic surgeon in Queensland. He has performed a significant number of advanced revision rhinoplasties. He keeps up to date with the latest techniques by regularly attending the international rhinoplasty symposium as well as presenting and demonstrating rhinoplasty and facial plastic techniques at conferences.

Post-operative Results

Dr Dan Robinson has performed multiple advanced revision rhinoplasties with excellent results. Dr Robinson feels that these results are due to a meticulous focussed approach to these operations which begins in the initial consultation, is executed during the operation (which can be over 6 hours long) and continues with meticulous post-operative care.

Gallery

You can view before and after patient photos in the Advanced Revision Rhinoplasty Gallery.

Related Information

Broad Nose
Blocked Nose
Broken Nose
Cleft Palate
Crooked Nose

To discuss if advanced revision rhinoplasty is recommended for you, please make an appointment with Dr Dan Robinson.