Revision Rhinoplasty: Addressing Complex Cases with Expertise

Fortunately, most rhinoplasty procedures performed by a highly qualified and experienced nose surgeon are successful, helping patients address their cosmetic concerns, functional issues, or both. However, there are certainly cases when the outcome of a nose job is not as expected, or patients develop unwanted side effects or complications after rhinoplasty surgery. For these men and women, revision rhinoplasty may offer a solution for finally getting the nose they hoped for in the first place.

As members of The Rhinoplasty Society, our board-certified nose surgeons offer revision rhinoplasty — sometimes referred to as secondary rhinoplasty — to address even the most complex cases of a "botched nose job" or changes after a primary rhinoplasty — to help patients achieve the comfort and confidence they deserve. Take a closer look here at what to know about revision rhinoplasty, including when a revision rhinoplasty is recommended, how the procedure works, and more.

What is a revision rhinoplasty?

A secondary rhinoplasty is a nose surgery performed specifically to correct issues that occurred as a result of, or sometimes after, an initial rhinoplasty. While the primary aspects of a revision rhinoplasty are similar to those of a first rhinoplasty — meaning the procedure is performed as an outpatient surgery using general anesthesia and involves incisions within and/or outside of the nose — the approaches used in a secondary nose job are unique and often require more expertise and precision.

When is a revision rhinoplasty recommended?

There are a variety of reasons to get a second nose job — some of which come down to personal preference and some that are related to function and comfort. Among the most popular reasons for revision rhinoplasty are:

• Unwanted cosmetic outcome of the first rhinoplasty
• Collapsed nasal bridge
• Asymmetric nose after rhinoplasty
• Difficulty breathing after a nose job
• Obstructed breathing or snoring
• "Overdone nose job" or nose that looks too artificial

During your initial consultation for revision rhinoplasty, your surgeon will carefully examine your nose, review your health and surgical history, discuss your specific concerns and goals, and develop a customized plan to help you achieve the results you want.

How soon can I get my nose job redone?

Patients who are unhappy with nose job results may feel anxious to have their rhinoplasty revised as soon as possible after their initial procedure. However, it is important to wait at least 12 – 18 months (or as advised by your surgeon) to undergo a secondary procedure. This allows your delicate nasal tissues time to heal after the initial surgery and gives you the opportunity to get used to your new look. In fact, patients often find that once swelling resolves and they've had time to adjust to their new nose, they are satisfied and no longer desire a revision.

How many times can a nose job be revised?

Despite being called a secondary rhinoplasty, the nasal revision technique can refer to a third or fourth — or beyond— surgery. However, it is important to understand that with each subsequent procedure, the complexity increases, as does the risk of excess scar tissue and other complications. Based on your surgical history, nasal anatomy, and other variables, our surgeons can help you understand when the benefits of an additional nasal revision outweigh the potential risks to ensure you're comfortable and confident in your decision to move forward with revision rhinoplasty.

Get the results you deserved in the first place with revision rhinoplasty

Don't settle for less than you expected when it comes to investing in something as important as the appearance or function of your nose. To learn more about your options for correcting an unsuccessful nose job or refining your results, contact a board-certified surgeon and member of The Rhinoplasty Society near you to schedule a consultation today.