Refining results and restoring function after previous nasal surgery — Revision rhinoplasty is performed to correct concerns following one or more prior nasal surgeries. These concerns may be cosmetic, functional, or both. Because the nasal structure has already been altered, revision rhinoplasty is often more technically challenging and requires advanced expertise to achieve a natural, stable, and functional result.
Common Reasons for
Revision Rhinoplasty
- Persistent breathing difficulties
- Asymmetry or irregular contours
- Over- or under-correction of a previous surgery
- Collapse or loss of nasal support over time
- Scar tissue affecting appearance or function
- Changes after trauma to a previously operated nose
Surgical Approach
Revision rhinoplasty is most often performed using the open approach for optimal visibility of the underlying structures. The surgery may involve removing scar tissue, rebuilding support with cartilage grafts, and reshaping bone and cartilage for improved contour and function. Because septal cartilage may no longer be available, grafts are sometimes taken from the ear or rib. Surgery is done under general anesthesia and can take longer than a primary rhinoplasty due to the complexity of the case.
Restoring Balance
Just like primary rhinoplasty, revision surgery may be combined with chin augmentation to improve facial profile balance. This is particularly helpful when the original nasal changes altered the proportions of the rest of the face.
Recovery Timeline
- Day 6-7: Splint removal and suture removal (if present)
- 1–2 Weeks: Return to work or social activities
- 3–6 Months: Most swelling resolves
- 1 Year+: Final results visible (swelling may take longer to fully subside in revision cases)
Non-Surgical Options
In select cases, minor contour irregularities after prior rhinoplasty can be improved with non-surgical rhinoplasty using injectable fillers. While temporary and not a substitute for surgery, this can be an option for patients seeking subtle refinements without downtime.
Why Patients Choose Dr. Morrin
Revision rhinoplasty requires an exceptionally skilled surgeon who understands not only nasal aesthetics but also the intricate structural and functional complexities of a previously operated nose. Dr. Morrin’s fellowship training in facial plastic surgery and extensive experience in both cosmetic and airway procedures allow her to create balanced, natural results while optimizing nasal function. Her meticulous approach and ability to handle challenging revision cases provide patients with renewed confidence in both their appearance and breathing.
Results
The goal of revision rhinoplasty is to restore harmony and function while respecting the limitations and possibilities of a previously operated nose. When performed by a surgeon with advanced expertise, results can be life-changing — both in appearance and in quality of breathing.
FAQ
Is revision rhinoplasty more difficult than the first surgery?
Yes — scar tissue, altered anatomy, and limited cartilage can make the surgery more complex. This is why experience in revision cases is critical.
Where will cartilage come from if my septum was used in the first surgery?
If your septal cartilage has already been used, there are still several reliable options. Cartilage can often be taken from the ear (auricular cartilage) or the rib (costal cartilage) if additional structural support is needed. In some cases, donor cadaveric rib cartilage can be used as a safe and effective alternative. For certain refinements, temporalis fascia may also be harvested to provide soft tissue coverage, camouflage, or additional support in reconstruction.
How long should I wait before having revision rhinoplasty?
It’s generally best to wait at least 12 months after your last nasal surgery to allow swelling to fully resolve and tissues to stabilize.
Can revision rhinoplasty fix my breathing problems?
Yes — functional improvements are often part of revision surgery and can include airway reconstruction, septoplasty, and valve repair.
Call FACE Saratoga for more information or to schedule an appointment.