For some patients, injecting a filler such as Radiesse to the nose can be a good alternative to a Rhinoplasty. Costs can add up over time however, so consider your long-term goals and your budget.  Whether or not a patient is a good candidate depends upon their specific goals and their anatomy.

Most filler’s are generally not permanent, and will only correct specific anatomical issues, not things that may cause problems with your breathing.  They also are only good at ‘filling’, not taking away.  So it is difficult to make an area smaller if that is your goal. They are usually best when used for small irregularities, and are not a replacement for surgery.  Results typically only last up to a year.

There are permanent fillers, but those come with their own complications, and may be inferior to surgery itself.  I recommend meeting with a Board Certified Plastic Surgeon for a consultation, and specifically working with someone who is experienced in this particular use of facial fillers.  During the consultation, you and the surgeon will discuss your goals, and the surgeon can discuss the best options for your unique case.

I understand how disappointing and frustrating it can be to be disappointed by the results of your initial Rhinoplasty procedure.  I recommend that you look for Plastic Surgeons who specialize in Rhinoplasty procedures.  Nothing can take the place of experience, so don’t be afraid to ask about their experience and of course, always confirm they are Board Certified.  I would also recommend seeing more than just one or two; get the opinion of several surgeons, and base your decision on that.

An experienced surgeon can give you a realistic idea of what you could expect from a revision Rhinoplasty, and help you determine a surgical plan that makes sense for you.  Generally however, you will need to let yourself heal properly, and that can take up to a year.  An experienced Rhinoplasty surgeon will not consider a revision before that time, because it can compromise the possibility of success.  Don’t rush into any decisions until the healing process is complete.

During your recovery from a Rhinoplasty, you may experience bruising, swelling, and discomfort.  Depending upon the extent of your surgery, most patients do not complain of ‘pain’ outside of a bit of tenderness.  Some report a mild headache, and others report a feeling of congestion.  These symptoms can be controlled with medication, supplements, splints, and compresses, as well as elevation in some cases.

Post-Rhinoplasty swelling can last up to 1 year after surgery, although the majority of the swelling usually goes away within 4-6 months time.  You will want to keep very heavy activity to a minimum the first 3-4 weeks, but after that you should be able to resume life as normal.

Immediately after a Rhinoplasty surgery, patients may experience some discomfort, bruising, and swelling.  Splints are applied to keep the cartilage and bone anchored during healing, and gauze is packed inside the nose to keep bleeding at a minimum and keep the septum from moving.

Splints are removed 1-2 weeks post surgery, which usually relieves quite a bit of discomfort.  Swelling can last up to 1 year post surgery while the cartilage, skin, and bone heal completely.  You may have some bruising around the eyes for the first 1-2 weeks, although the majority of the swelling usually goes away 4-6 months post surgery.  Taking certain supplements and using compresses can minimize discomfort and swelling as well, and keeping your head elevated.  Talk with your surgeon as they will usually have detailed post op requirements for you to follow.

Swelling after a Rhinoplasty surgery can be present up to 1 year post-surgery depending upon the extent of the procedure itself.  Generally, the majority of swelling goes away in the first 4-6 months, but it can take up to 1 year for the results of your Rhinoplasty to truly be seen properly.

The main thing is to make sure your surgeon is experienced in nasal surgeries to minimize recovery issues as much as possible.  If you have any concerns about the swelling, it is best to address this with your surgeon directly.

In answer to your question, the cost of rhinoplasty may vary depending on the area where you are having the procedure done.  In San Francisco, the pricing for a Rhinoplasty can range from $7,000-$9,000.  It is also important that you find out exactly what is included in the fee.  The price quote should include everything, such as pre and post op visits, any anesthesia and operating room fees as well as your surgeon’s fee and any other applicable charges that may be incurred with your particular case.
It’s also important when choosing a Rhinoplasty surgeon to find a Board Certified Surgeon who has experience with facial and nasal surgeries.  Ask how many facial and nasal surgeries they perform on a regular basis.  If they don’t perform them regularly, keep searching until you find one who does.  Rhinoplasty can be a difficult procedure with a high touch up rate, and you want to ensure the best possible outcome the first time, or your costs can become significantly higher in the long-run.