When you have a rhinoplasty you expect the perfect nose for your face. It should be balanced, straight, smooth, proportional, symmetric, and, you should be able to breathe better than ever! That’s what your doctor wants for you as well.

But, rhinoplasty (nose jobs) are complicated. They are so complicated that even with an expert and experienced surgeon, the chance of needing a revision is about 11% (1 in 9) in published papers. (For us at TSC it’s less than 2 % or fewer than 1 in 50. Read on to learn more about that.)

The problem usually is that things don’t heal exactly as you want. Think about planting a garden. You can dig the same size holes, use the same seeds, water the same amount, and use the same fertilizer, and yet, one of the plants won’t grow as well as the others.

I find that most of the time the problem is time. If you have thick skin, you’ll get the nose you want, but you have to wait longer because thicker skin holds on to swelling longer.  Most of the 2% of people who need a subsequent intervention for a rhinoplasty done at TSC just need something to get the fluid out faster. (We do that with either an injection of a steroid medication, or a treatment like Morpheus 8.)

But, problems can occur and that’s where having the experience of a TSC surgeon really helps.  We’ve done hundreds of revision rhinoplasties on people who have travelled from far and wide to get their noses right when they had a problem with another doctor. In the most extreme cases we’ve seen people who have come to use after 6 prior surgeries!

Fortunately, we know how to fix these things. Sometimes it’s just adding a bit more support. Other times it’s more complicated and involves rebuilding much of the inside of the nose. Either way, knowing the anatomy inside and out, and having a great grasp of the function and healing of the nose can get you the right outcome. Dr. Spiegel has published papers and lectured on details of nasal anatomy, structure, and function.  When it comes to rhinoplasty – we literally wrote the book on it.

When you’ve done as many nose surgeries as Dr. Spiegel, you look forward to revision rhinoplasty as you get a chance to really use your skills.

Interested in a rhinoplasty? We’ll get it right the first time.

Had a rhinoplasty somewhere but need something adjusted? It’s never to late to get it right this next (and last) time!

Meet Our Doctors

Dr. Jeffrey Spiegel

Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

Learn More About Dr. Jeffrey Spiegel

Dr. Onir L. Spiegel

Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower

Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

Learn More About Dr. Jacob Tower
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