Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO


While the majority of rhinoplasty patients are thrilled with the results of their nose surgeries, dissatisfaction with results is not uncommon. However, it is important to note that it is normal for the nose to be swollen in the weeks and months following nose surgery. In fact, the final results of your surgery may not be apparent for up to a year. Make sure to follow all of your surgeon’s postoperative instructions, and be patient. If after a year you are still dissatisfied with the outcome of your surgery, you may wish to consider having revision rhinoplasty, also referred to as secondary rhinoplasty. Revision rhinoplasty can reshape or resize the nose. It can also deal with breathing difficulties. The procedure typically involves measures to address mistakes made in the primary (original) rhinoplasty procedure. This may include excessive reduction of the nasal bridge and/or any asymmetry in the nasal tip. The procedure can also replace materials that were poorly tolerated. If support structures were weakened or compromised in the first surgery, this can lead to scarring that can change the appearance of the nose. If necessary, this will be addressed as well.

Most revision nose surgeries involve the open approach and are relatively complex. Additional grafts may be required to strengthen and rebuild the nasal structures. Cartilage may need to be harvested from other areas such as the ear or ribs. As a result, it is imperative that you choose a highly skilled facial plastic surgeon with extensive experience performing this type of nose surgery.

Secondary rhinoplasty surgery can usually be performed in an outpatient surgical center under deep sedation or general anesthesia. It typically takes two to six hours, depending on the extent of the procedure.

Written by Dr. Sam Rizk

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