What Is Revision Rhinoplasty?

Revision rhinoplasty is a secondary nasal surgery performed on patients who have previously undergone rhinoplasty but are not satisfied with the functional or aesthetic outcome. This procedure aims to correct deformities, asymmetries, or breathing problems that may have remained or developed after the first operation. When performed by an experienced surgeon, revision rhinoplasty can restore harmony to the nose and provide a natural appearance that suits the facial structure.

When Is Revision Rhinoplasty Necessary?

Revision rhinoplasty may be required in the following situations after the primary surgery:

• Drooping or asymmetry of the nasal tip
• Irregularities, collapse, or deviation along the nasal bridge
• Differences in nostril shape or size
• Breathing difficulties following the initial procedure
• Deformities caused by trauma after the first surgery
• General dissatisfaction with the aesthetic outcome

How Is Revision Rhinoplasty Different from the First Surgery?

Revision rhinoplasty is usually more complex and requires a more detailed and delicate approach compared to the initial rhinoplasty. Since structural support may be weakened due to previous surgical interventions, the surgeon may need to use cartilage grafts taken from the ear or rib to rebuild and support the nasal framework.

What Happens Before the Surgery?

• A detailed examination and photographic analysis are performed.
• If available, previous surgery notes and before–after photos are reviewed.
• The patient’s aesthetic expectations and functional problems are evaluated in detail.
• Realistic goals are discussed and a personalized surgical plan is created.

How Is Revision Rhinoplasty Performed?

Revision rhinoplasty is typically performed under general anesthesia. Depending on the needs of the patient, either the open or closed technique may be used:

• Open technique: A small incision is made on the columella, providing full visibility of the nasal structure. This technique is preferred for complex cases.
• Closed technique: All incisions are made inside the nose, leaving no visible scars. It is suitable for cases requiring minor corrections.

During the procedure, the nasal bone and cartilage structures are reshaped, strengthened if necessary with grafts, and adjusted to achieve both aesthetic harmony and improved breathing.

Who Is a Good Candidate for Revision Rhinoplasty?

• Individuals who have previously had rhinoplasty but remain dissatisfied with the result
• Patients experiencing breathing difficulties that developed after the initial surgery
• Those who feel their nose does not match their facial proportions
• Patients in good general health who can comply with recovery instructions
• Individuals with realistic expectations and good communication with their surgeon

What Is the Recovery Process Like?

The recovery process after revision rhinoplasty is similar to the first surgery, but may vary depending on the complexity of the correction:

• An external splint or cast is typically worn for 5–7 days.
• Mild swelling and bruising may occur and generally improve within 1–2 weeks.
• Most patients can return to social life within 7–10 days.
• The final nasal shape can take 6–12 months to fully settle.

Postoperative Care: What Should You Pay Attention To?

• Avoid any impact or pressure on the nose.
• Sleep on your back with your head elevated during the first weeks.
• Postpone wearing glasses or use temporary lightweight alternatives.
• Avoid heavy exercise and high-intensity sports until your surgeon approves.
• Protect the nose from direct sunlight and excessive heat.

Will the Results Look Natural?

Yes. When revision rhinoplasty is carefully planned and performed by an experienced surgeon, the resulting nose appears natural, harmonious, and balanced with the rest of the face. The primary goal is to avoid an artificial look, restoring both aesthetic appeal and nasal function.