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Revision Rhinoplasty Las Vegas

Home » Procedures » Facial Cosmetic Surgery » Revision Rhinoplasty Las Vegas

Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Irvine, CA
Cosmetic and Facial Plastic Surgeon

Revision Rhinoplasty (*) is one of the most challenging procedures in cosmetic surgery today. Previous “nose job” or rhinoplasty either did not achieve the desired outcome, the surgeon was overly aggressive with nose cartilage manipulation or a complication occurred, all of which have produced a less than optimal result.

Approximately, one third of Dr. Robert J Troell, FACS, FAAFPRS, FAACS, FAAOHNS, FAASM’s nasal beautification surgeries are revisions from his colleagues. All patients have photographs taken and photo morphing with Dr. Troell to identify the exact appearance the patient is striving to achieve. He will educate you on the possibility reaching this aesthetic goaI. Preparation for surgery is essential. Acquiring your previous description of the surgery or “operative report”, provides valuable information of the anatomy that may be present at the time of your revision procedure.

Nearly all of these cases require the soft tissue structure between the nostrils to be lifted (open approach) for maximum visualization of the nasal anatomy. Nearly all of the revision procedures require cartilage from somewhere in your body: nasal septum, ear conchal or rib cartilage. Occasionally, bone may be needed from the top of your head, skin and cartilage combined graft from the ear or irradiated cartilage from a cadaver specimen.

The usually deficiency in revision surgery is the previous removal of either the bony or cartilaginous support structure of the nose. This structural framework needs to be rebuilt, preferably using your own tissue. The addition of skin or a composite graft (skin and cartilage) is required to resurface scarring inside your nostrils or vestibule skin.

RealSelf Q&A with Robert J. Troell, MD, FACS

In Some Patients, Only Minimal Treatments Are Necessary

Sometimes, only one or a few direct skin injections to an area of fullness (usually the supratip area above the tip) of a steroid called triamcinolone or Kenalog in low dose resolves the problem. Rarely, injected of a dermal filler can fill in an area of deficiency, however, this is only a temporary solution.

Some patients can undergo a closed approach with an incision inside the nostril, which produces less post-treatment nasal tip swelling than the open approach. Directly cutting an area of excess cartilage or placing a cartilage graft in an area of weakness or area of volume deficiency may be necessary.

The most common presentation is a nose that has had one to four previous surgeries with excess cartilage manipulation that requires multiple cartilage grafts for both functional (improved breathing) and aesthetic structural support. A knowledge of the anatomy, engineering, artistic eye and understanding the limitations are essential qualities of the surgeon to achieve the optimal outcome.

Dr. Robert Troell has superior education and training to ensure he’s adequately qualified to treat these challenging revision rhinoplasty procedures with the following board certifications:

  • American Board of Otolaryngology-Head & Neck Surgery
  • American Board of Facial Plastic & Reconstructive Surgery
  • American Board of Cosmetic Surgery- Facial Plastic Surgery

The later two board oral examinations Dr. Troell received the highest score on the certifying board examination. With his colleagues from his private practice at Stanford University in Palo Alto, CA has designed two surgical procedures for the nose for improved function (nasal breathing) and aesthetic appearance.

Nasal Alar Rim Reconstruction Ch.27 (*)

Contact Dr. Troell’s Office for Your Free Consultation:

Dr. Troell and his staff are happy to discuss Reconstructive Plastic Surgery procedures with you and answer your questions. Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488 and Irvine, California (949) 220-0532.

For your free private consultation or appointment click here.

(*) © 2023 Dr. Troell - Beauty by Design | All Rights Reserved

Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. Results may vary and this may not be typical of every user. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.

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Robert J. Troell, M.D., F.A.C.S. at Corona Del Mar, New Port Beach, CA

BEAUTY BY DESIGN New Port Beach: A REGENERATIVE MEDICAL SPA IN Corona Del Mar, CA.

Beauty By Design in Las Vegas is not the only location where you can meet Dr. Troell. Robert J. Troell, .M.D., F.A.C.S. is also serving clients in Corona Del Mar, New Port Beach, California. Learn more about Beauty By Design Corona Del Mar, or call (949) 220-0532.

Two Locations to Better Serve You

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
  • Las Vegas
  • Corona del Mar

Las Vegas

Robert J. Troell, M.D., F.A.C.S. (Las Vegas, Nevada)

Robert J. Troell, M.D., F.A.C.S.
(Las Vegas, Nevada)

Address: 5375 S Fort Apache Rd
Suite 101
Las Vegas, NV 89148.
Phone: (702) 242-6488

Driving Directions Contact Us

New Port Beach

Robert J. Troell, M.D., F.A.C.S. (New Port Beach, California)

Robert J. Troell, M.D., F.A.C.S.
(New Port Beach, California)

Address: 2801 East Coast Hwy
Suite E
Corona del Mar, New Port Beach, CA 92625.
Phone: (949) 220-0532

Driving Directions Contact Us
FPS ACOS AOHNS ASOLP AOHNS

BEFORE AND AFTER PHOTOS

Before & After

FACIAL

  • Chin & Cheek Enhancements & Implants
  • Ear Reshaping
  • Eye Cosmetic Surgery (Blepharoplasty)
  • Face Lift & Neck Rejuvenation
  • View all Facial

BODY

  • Abdominoplasty
  • Natural Breast Augmentation
  • Body Fat Grafting
  • Brazilian "Butt Lifts"
  • View all Body

SKIN

  • Body Scrubs & Wraps
  • BOTOX®
  • Chemical Peels
  • Dermal Fillers
  • View all Skin

ANTI-AGING

  • Biodentical Hormone Replacement
  • Comprehensive Anti-Aging Program
  • View all Anti-aging

© 2021 Dr. Troell - Beauty by Design
All Rights Reserved
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(949) 220-0532
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Disclaimer: Beauty by Design does not promise results, as they may vary for both non-surgical and surgical procedures. This includes experimental procedures, like Anti-aging Therapy. All information on this site is intended for general purposes and is in no way a substitute for professional medical advice. Before and after photos on this website are Beauty by Design's actual patients, and all patients have given consent for use of these photos.

Dr. Robert Troell is a multi-board Certified Cosmetic Surgeon with a DEA number, and is permitted to dispense narcotics and pharmaceutical drugs. BOTOX® and Juvéderm® are registered trademarks of Allergan. Dysport®, Restylane®, and Perlane® are registered trademarks of Galderma.

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