• Facial Surgery

    “Our goal is to provide our patients with an honest, professional and respectful experience when discussing their cosmetic or reconstructive concerns. We believe that all patients have individual needs that differ greatly from one another. We strive to identify these differences and fully understand our patients’ expectations.”

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Revision Rhinoplasty Toronto

Think You May Require A Revision Rhinoplasty?

Revision rhinoplasty or secondary rhinoplasty are the terms used for the operation that attempts to correct problems that remain or were caused by a previous nose operation. Patients turn to this process if they are unsatisfied with their original operation or just want further improvement or refinement of their nose.

The principles of revision rhinoplasty are very much the same as those in the primary rhinoplasty (nose job) situation. To effectively devise a safe plan that satisfies the patient to the greatest degree possible, it is important to understand the patient’s aesthetic and functional goals in relation to nasal balance and function, deformities of cartilage and bone, and nose support and reshaping.

In practice, secondary rhinoplasty is much more difficult. The nasal septum, which is the prime building material for nasal surgery, has often been partially or completely removed. The cartilage and bone that create nasal shape have already been altered and are scarred or deformed and the skin has become thicker and less pliable. The airway is often significantly impaired.

Most importantly, because the patient has already gone through one or more prior disappointing experiences, has spent money for operations that didn’t achieve what he or she wanted (or has made them worse) and has now needed to “start all over again”, the patient and surgeon must build trust that stems from clearly-defined, realistic goals and expectations.

Often there are several possible surgical solutions, each with a different outcome and some which are more complicated than others. In Canada, Dr. Gantous has pioneered and developed the process using rib cartilage for the reconstruction and improvement of noses.

Few surgeons master this procedure because of its complexity and unpredictability. Dr. Gantous’ thorough understanding of the nasal anatomy and physiology and his ability to expertly apply a wide range of surgical techniques has made him a leader in this field.

Dr. Gantous is well known for his ability to take on difficult reconstructive cases where the nose has been damaged by previous surgery, trauma or disease. He has published several scholarly papers on this subject and takes pride in helping the patient overcome these obstacles.

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