Revision Rhinoplasty

Rhinoplasty is perhaps the most challenging of all plastic surgery procedures. Even in the best of hands, external deformities or breathing difficulties may occur after rhinoplasty. This is due to the complicated anatomy of the nose and the 'vagaries of healing'.

In such cases, when a second surgical procedure is undertaken, the experience of the surgeon becomes even more important. Dr. Most, as Chief of the Division of Facial Plastic and Reconstructive Surgery at Stanford University School of Medicine, has developed a significant regional referral practice for revision rhinoplasty in the San Francisco Bay Area and beyond. In fact, his patients have come from all over the West Coast, and from as far away as New York.

If you have had a rhinoplasty, and have problems with breathing or the external shape of your nose, a consultation with Dr. Most may help determine if you are a candidate for this procedure.

The Procedure

The procedure is usually performed under general anesthesia. Incisions are primarily internal, though a small external incision is sometimes used. The bone and cartilage of the nose is reshaped, and care is taken to preserve the breathing function of the nose. Dr. Most is often able to actually improve nasal breathing for his patients.

Patients may expect 5-7 days of swelling in the nose. Dr. Most uses absorbable sutures that do not need to be removed, and uses advanced techniques that allow him to avoid packing in most cases.

Why should I choose Dr. Most?

As a double-board certified Facial Plastic Surgeon, Dr. Most is uniquely qualified in surgery of the face, and the nose in particular. Dr. Most has many years experience and has served as Chief of Facial Plastic Surgery at two of the top medical centers in the United States. As of July 1, 2006, he is Chief of the Division of Facial Plastic and Reconstructive Surgery at Stanford University. Dr. Most is nationally recognized for his expertise in rhinoplasty surgery. He has written extensively on this subject, including work on improving surgical outcomes. He has contributed as lead author to the major textbook on Facial Plastic and Reconstructive Surgery on this topic, and his work in this area was recently selected for a 'best of' paper in Facial Plastic Surgery. In 2005, he has been a faculty member at the nationally recognized Rhinoplasty Course at OHSU in Portland, Oregon. A leader in the field, he has received national awards for his work. He performs hundreds of facial plastic surgery procedures each year. His patient comments reflect his personal philosophy for excellence. Most recently, Dr. Most was elected by his peers for inclusion in Best Doctors in America® for 2007-2016.

What about Computer Imaging?

You may request computer-assisted imaging to help you envision what a rhinoplasty can achieve for you.

I am interested! What is the next step?

If you are interested in this procedure, Dr. Most will personally evaluate you to determine if it is right for you. Please call our Care Coordinator, Amy Mladineo, at (650) 736-FACE to schedule a consultation appointment with Dr. Most. We look forward to seeing you!

Your First Visit

A Brief History of Rhinoplasty

About Dr. Most

Dr. Sam Most is a highly trained specialist in plastic surgery of the head and neck. His training has included:

  • facial cosmetic surgery
  • complex reconstruction after head & neck cancer resection, and
  • craniofacial trauma reconstruction.

His specialization in plastic surgery of the head and neck allows him to concentrate on delivering the most up-to-date techniques to his patients.

Schedule a Consultation

(650) 736-FACE (3223)