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Revision Rhinoplasty: Correcting Your Previous Nose Surgery

If you’ve undergone a previous nose surgery but aren’t happy with the aesthetic results, revision rhinoplasty may be the solution. Revision rhinoplasty, also known as secondary or tertiary rhinoplasty, is a specialized surgical procedure performed by an experienced facial plastic surgeon. Patients may choose to undergo revision surgery to correct issues that may have arisen from the original or primary rhinoplasty.

Why Patients Seek Revision Rhinoplasty

Various reasons why rhinoplasty patients might consider a revision include:

Unsatisfactory cosmetic appearance

The original rhinoplasty might not have achieved the desired shape, size, or overall aesthetic goals. Common concerns include:

  • Overly-reduced nose: The nose might appear too small or “pinched.”
  • Bump or hump: The nose might not be straight enough.
  • Asymmetries: The nose can appear uneven or crooked. There may be contour concerns.
  • Nostril Issues: Nostrils can be too wide, too narrow, or appear uneven.
  • “Polly beak” deformity: When the tip of the nose droops after surgery.

Breathing difficulties

Issues in the nose like scar tissue, a collapsed nasal valve, or other changes can make it hard to breathe.

Functional concerns

Revision rhinoplasty can address chronic nasal obstruction, sinus issues related to structural changes, or other functional problems related to the previous surgery.

Changes over time

Over time, the nose can change because of normal aging or injury, even if it initially looked good.

Unrealistic expectations

Sometimes, a patient’s initial expectations for their rhinoplasty may have been unrealistic, leading to disappointment even if the surgery itself was successful. A revision can bring results closer to the patient’s desired outcome.

revision rhinoplasty

The Expertise of a Board-Certified Facial Plastic Surgeon

Revision rhinoplasty is a complex procedure that demands a greater depth of skill and experience than a primary rhinoplasty. Choosing a board-certified facial plastic surgeon who specializes in revision rhinoplasty is essential. Here’s why:

In-Depth Anatomical Knowledge

A facial plastic surgeon has a comprehensive understanding of the nasal anatomy. They know how it interacts with overall facial harmony. Additionally, they have expertise in the various structures that impact breathing function.

Experience with Revision-Specific Techniques

Revision rhinoplasty often requires specialized techniques to rebuild and reshape the nose. These may include advanced cartilage grafting methods and handling dense scar tissue. The surgeon may also need to correct structural weaknesses that developed after the initial surgery.

Understanding of Healing After Trauma

A prior surgery alters the natural architecture of the nose, affecting how it heals. A board-certified facial plastic surgeon factors this into their plan to optimize your results. This will reduce the chance of future complications.

Aesthetic Sensibility

Revision rhinoplasty requires not only technical proficiency but also a keen eye for facial balance and proportion. Your surgeon should be able to create a nose that looks natural and complements your other facial features.

Ethical Standards

A board-certified facial plastic surgeon maintains high ethical standards. They’ll be honest about realistic expectations and clearly explain the risks and benefits of revision surgery. Above all else, they will prioritize your safety and well-being.

Choosing the right surgeon is paramount to the success of your revision rhinoplasty. Find a surgeon who is skilled, educates patients, communicates well, and shows compassion. Learn more about how to find a board-certified facial plastic surgeon here.

revision rhinoplasty before after

The Revision Rhinoplasty Process

  1. Consultation: This is the most crucial step. Your facial plastic surgeon will thoroughly evaluate your nose, both externally and internally. They’ll discuss your medical history, your specific concerns, and your desired outcomes. Being open and honest about your previous rhinoplasty and what you hope to achieve with the revision is important.
  2. Realistic Expectations and Planning: Your surgeon will explain the possibilities and limitations of revision rhinoplasty. They may use imaging software to help you visualize potential results. Together, you’ll formulate a personalized surgical plan tailored to address your individual needs.
  3. Procedure: Rhinoplasty surgeons often perform this surgery under general anesthesia. The specifics of the procedure depend on the complexities of your individual case. Potential techniques and adjustments include:
    • Adding structural support: This may involve cartilage grafts from your septum, ear, or in complex cases, your rib. Cartilage grafts strengthen the nose and help refine its shape.
    • Addressing scar tissue: Your surgeon will carefully assess scars from the previous surgery and modify them as needed.
    • Reshaping the bones or cartilage: Your surgeon may break and reposition bones or reshape cartilage to address aesthetic concerns.
    • Nasal septum work: If breathing issues are present, your surgeon might address a deviated septum. Other structural issues could also be hindering the nasal airway.
  4. Recovery: Revision rhinoplasty recovery is similar to primary rhinoplasty but can take longer because of the procedure’s complexity. You may experience swelling, bruising, and possibly some discomfort, but you can manage it with medication. 

As with all plastic surgery procedures, your surgeon will provide detailed aftercare instructions. For best results, it’s vital to follow them carefully. During recovery, you’ll have regular follow-up appointments with your surgeon to monitor your progress.

💎 Important Note: Revision rhinoplasty is often significantly more demanding than the original rhinoplasty, involving a higher level of technical skill. However, even with the best surgeon, it may take more than one revision procedure to achieve optimal results.

Revision Rhinoplasty – Secondary Nose Job

Before & After Photos

Revision Rhinoplasty, Secondary Rhinoplasty, Revision Nose Job Surgery Cleveland, OH Plastic Surgeon
Revision Rhinoplasty, Secondary Nose Job Surgery
Revision Rhinoplasty, Secondary Rhinoplasty, Revision Nose Job Surgery Cleveland, OH Plastic Surgeon
Revision Rhinoplasty, Secondary Nose Job Surgery

Surgical Procedure: This lovely female patient had a revision rhinoplasty (secondary nose job) procedure performed by double-board certified facial plastic surgeon Dr. Diana Ponsky, located in Beachwood, OH. Beachwood is located about 30 minutes south of Cleveland and 2 hours north of Columbus, OH

Is a Secondary Rhinoplasty Right For You?

The best way to determine if revision nose surgery is right for you is to schedule a consultation with a board-certified facial plastic surgeon.  She/he can assess your individual needs, discuss the different procedure options, and help you achieve the smile of your dreams.  Schedule a consultation with Dr. Diana Ponsky, a double board-certified facial plastic surgeon.  We will discuss your individual case and to determine if this procedure aligns with your goals and needs.

Tertiary Rhinoplasty Nose Job

Before & After Photos

Revision Tertiary Rhinoplasty, Tertiary Rhinoplasty, Tertiary Nose Job Surgery, neck surgery, neck liposuction, submental liposuction Cleveland, OH Plastic Surgeon
Tertiary Rhinoplasty, Nose Job Surgery, Chin & Neck liposuction
Revision Tertiary Rhinoplasty, Tertiary Rhinoplasty, Tertiary Nose Job Surgery, neck surgery, neck liposuction, submental liposuction Cleveland, OH Plastic Surgeon
Tertiary Rhinoplasty, Nose Job Surgery, Chin & Neck liposuction

Surgical Procedure: This lovely young female patient had a tertiary rhinoplasty – nose job procedure performed by double-board certified facial plastic surgeon Dr. Diana Ponsky, located in Beachwood, OH. Beachwood is located about 30 minutes south of Cleveland and 2 hours north of Columbus, OH

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