Revision rhinoplasty

Revision Rhinoplasty

Rhinoplasty, as with any plastic surgery, may produce undesirable or unsuccessful results. Revision rhinoplasty is what plastic surgeons call a “re-do”, or a second surgery to “revise” a previous nose job.

Rhinoplasty can be perceived as more of an art, where the surgeon molds, sculpts, and reshapes your nasal structures. Precise results are impossible to predict. Because final results are not obvious right away, you may not know whether or not you’re happy with the outcome of your nose surgery until after healing is complete, which can take weeks.

Up to 20% of patients are not completely satisfied with their first surgery, so they seek the same or another surgeon to perform revision rhinoplasty.

To avoid revision rhinoplasty, it’s very important to discuss your expectations with the surgeon, share photos of your ideal nose, and understand the variations that are possible with this procedure the first time.

Before you schedule your initial consultation, reviewing before-and-after photos of patients can give you the best idea of the type of work different surgeons do. Most surgeons have photos and videos on their websites.

Revision Rhinoplasty: Are you a Candidate?

If you had a rhinoplasty and are dissatisfied with the outcome, contact your original surgeon or seek a different surgeon to perform a revision, or secondary, rhinoplasty.

During your revision consultation:

  • Talk to your doctor about your previous experience and the specific reasons you are unhappy with the results.
  • Ask the surgeon what technique or procedure he or she recommends to correct your problem.
  • Also, ask him or her how often he or she has performed revision on patients. If you are clear about your goals and make certain you understand the possibilities before you schedule your procedure, you will be less likely to be disappointed with the results.

There are horror stories of patients who have had 6 or 7 procedures performed on their noses and still are not happy with the results. But this is uncommon and is usually attributed to patients who are addicted to having multiple cosmetic surgeries, or to those who are never satisfied with the outcomes of their plastic surgery. Michael Jackson and many other celebrities are prime examples.

This does not have to be your experience. If you set realistic expectations, find a good board-certified rhinoplasty surgeon and follow all postoperative instructions, you will improve your chances of the satisfaction with your new look.

Things You Can Expect from a Revision Rhinoplasty

Revision rhinoplasty is designed to fix mistakes made during the initial procedure or to fine-tune results that were less than ideal. Here are some of the most common complaints:

  • An unnatural-looking tip
  • Too much missing from the bridge
  • Not enough was removed from the bridge
  • The nose is still too big
  • The nose is too small
  • Difficulty breathing
  • Unhappy with the new look

All of these complaints can be addressed with revision rhinoplasty. If too much cartilage was removed from the nose, resulting in an unnatural or twisted tip, the revision physician might take cartilage from elsewhere in your body, such as the septum or ear (known as the donor site), and use it to rebuild the tip. The same technique may be used if too much was removed from the bridge of the nose. If a bump on the bridge needs to be touched up, the surgeon might use a scalpel-and-chisel or laser technique to go back in and fine-tune the shape. Your doctor will let you know before the procedure whether an open or closed technique will be used.

Keep in mind that nose surgery procedures can be very complex, and there are many things to consider before you undergo revision rhinoplasty.

Choosing your Revision Rhinoplasty Doctor

If you feel more comfortable choosing a different physician for your rhinoplasty revision, you can get started with our Surgeon Locator. provides the tools to help you find top-rated surgeons in your area.

Visit the websites of the recommended physicians and look at their before-and-after photos. Look for physicians who specialize in revision rhinoplasty, which requires special training. To achieve the best possible outcome for your revision surgery, take yours before photos with you to the initial consultation with your new plastic surgeon, along with a list of complaints about your nose.

The time you invest in finding the most qualified surgeon for your revision rhinoplasty will pay off when you achieve wonderful results!

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