Common Reasons for a Revision Rhinoplasty

A rubber stamp on a white background - Revision

Rhinoplasty, often referred to as a “nose job,” is a popular cosmetic surgical procedure that aims to reshape and improve the appearance of the nose. While many individuals are satisfied with the results of their initial rhinoplasty, some may consider revision rhinoplasty to further refine or correct certain aspects of their nasal aesthetics. In this blog, we will explore the world of revision rhinoplasty, common reasons why individuals opt for it, and what you need to know if you are considering this procedure.

What is Revision Rhinoplasty?

Revision rhinoplasty, also known as secondary rhinoplasty, is a surgical procedure performed to correct or enhance the results of a previous rhinoplasty. While primary rhinoplasty addresses various concerns, including nasal size, shape, and function, revision rhinoplasty is specifically designed to address issues that may have arisen from the initial surgery or to further improve the nasal appearance.

Common Reasons for Opting for Revision Rhinoplasty

Unsatisfactory Results from Primary Rhinoplasty:

One of the most common reasons individuals seek revision rhinoplasty is because they are dissatisfied with the results of their initial surgery. This dissatisfaction can arise from a variety of factors, such as asymmetry, irregularities, over-reduction, or under-correction. Revision rhinoplasty can help correct these issues and achieve the desired aesthetic outcome.

Breathing Difficulties:

Some individuals may experience breathing problems after their primary rhinoplasty due to the alteration of the nasal structure. Revision rhinoplasty can address functional issues, such as a deviated septum, collapsed nasal valves, or nostril narrowing, to improve airflow and breathing.

Natural Aging Process:

Over time, the nose, like other facial features, can undergo changes due to the natural aging process. As the skin loses elasticity and tissues sag, it can affect the appearance of the nose. Revision rhinoplasty can help restore a more youthful and balanced look to the face.

Trauma or Injury:

Accidents, injuries, or trauma to the nose can necessitate revision rhinoplasty to repair damage and restore the nasal structure. This procedure can address both aesthetic and functional concerns resulting from the trauma.

Botched Rhinoplasty:

In some unfortunate cases, individuals may have undergone a poorly executed rhinoplasty by an inexperienced surgeon, leading to undesirable results. Revision rhinoplasty can help correct the mistakes made in the previous surgery and provide a more satisfactory outcome.

Evolving Aesthetic Preferences:

Aesthetic preferences can change over time, and what may have been considered an ideal nose shape in the past may no longer be desirable. Revision rhinoplasty allows individuals to update their appearance to better align with their current aesthetic goals.

Key Considerations for Revision Rhinoplasty

Choose an Experienced Surgeon:

It is crucial to select a board-certified and experienced plastic surgeon or facial plastic surgeon who specializes in revision rhinoplasty. These surgeons have the expertise and skills required to address the complexities associated with revision procedures.

Realistic Expectations:

Patients should have realistic expectations about the outcomes of revision rhinoplasty. Achieving perfection is not always possible, but experienced surgeons can work closely with patients to achieve significant improvements.

Recovery and Healing:

Recovery from revision rhinoplasty can take time, and patients should be prepared for some post-operative swelling and bruising. Following post-operative care instructions is essential to ensure proper healing and optimal results.


Revision rhinoplasty is a valuable option for individuals who wish to refine their nasal aesthetics, correct previous surgical issues, or address new concerns that have arisen over time. By choosing an experienced surgeon and maintaining realistic expectations, patients can achieve improved nasal aesthetics and, in some cases, enhanced breathing function. Whether it’s dissatisfaction with the initial results, functional issues, or a desire for aesthetic updates, revision rhinoplasty offers a path to achieving the nose you desire and the confidence that comes with it.

Lee A. Kleiman a doctor at Anne Arundel ENT

Dr. Lee A. Kleiman is a double board certified ENT & plastic surgeon at Anne Arundel ENT in Annapolis, Maryland known for his superior clinical outcomes in all Surgical and Non-Surgical ENT, specializing in Sinus Care, Voice and Swallowing, Rhinoplasty and Revision Rhinoplasty, and Facelifts and Non-surgical Aesthetic. He also continues to attend conferences internationally and nationally to keep abreast of the latest treatments and technology.