Rhinoplasty Correction With Revision Rhinoplasty

Revision Rhinoplasty

Rhinoplasty or nose job aims to reshape the nose for better aesthetics and functionality. But in some cases, the rhinoplasty may go wrong, giving unwanted results. This might need another rhinoplasty, called revision rhinoplasty, for correction.


Revision rhinoplasty is also referred to as secondary rhinoplasty or revision nose surgery, done to eliminate deficits of primary rhinoplasty or first-time rhinoplasty.


About revision rhinoplasty


Patients who undergo a revision rhinoplasty surgery are those who had a bad experience with the previous rhinoplasty that failed to deliver optimal results. A poor rhinoplasty outcome means: the nose looks different than desired or expected pre-procedure. 

Rhinoplasty is also done to improve the functionality of the nose. Hence functional failure that compromises nasal airflow or internal disruption too can contribute to causing rhinoplasty failure.

It’s important to understand that it’s not right to blame the surgeon always. Sometimes, bad circumstances, poor aftercare of the nose after surgery, or collapse of nasal passageway after rhinoplasty causes rhinoplasty failure.

Rhinoplasty enhances the nose, which ultimately enhances facial features. So, our surgeons can also indicate facial plastic surgeries to attain holistic facial harmony. 


Why do nose jobs fail?


Some of the common reasons for nose job failures include

  • Poor rhinoplasty planning 
  • Improper incision placement
  • Excessive removal of septum cartilage or bone from the nasal bridge
  • Damage to the nasal tip 
  • Inadequate use of skin grafts
  • Excess removal of septal cartilage

Other contributing factors include:

  • Nose shift due to improper aftercare
  • Reduced swelling healing
  • Strenuous work, and exercise after surgery, harming rhinoplasty
  • Improper sleep position immediately after rhinoplasty
  • Unconscious sneezing, harming  rhinoplasty


Signs you need a revision rhinoplasty


A rhinoplasty aims to help patients achieve a balanced, natural-looking face with a symmetrical nose, maintaining proportionate balance with eyes, cheeks and other facial features.

Hence you can consider the following signs that indicate an unbalanced or unnatural-looking facial appearance, requiring a revisional rhinoplasty:

  • Wide and large nostrils
  • Slightly bent nose (more evident in mirror image)
  • Low nasal bridge
  • Upturned nasal tip
  • Pinched nose
  • Round or box-like nasal tip- not desired

You can also consider a revision rhinoplasty if you are unsatisfied with the previous rhinoplasty results. However, rhinoplasty results will be prominently visible after the swelling subsides completely, which may take several months.


How primary rhinoplasty differs from a revision rhinoplasty?


Primary rhinoplasty, or first-time rhinoplasty, is one of the very popular facial plastic surgeries. It intends to reshape the nose and improve facial harmony while also improving the nose’s functionality.

A primary nose surgery treats deviated septum, anatomical deficits of the nose, breathing problems and nose function.


Revision rhinoplasty is performed to correct a failed or improper primary nose surgery to deliver the desired results. 

A revision nose job is quite similar to a primary rhinoplasty, BUT, it is clearly intended to correct the flaws of previous ones and create a balanced, harmonious arched nose. Typically, a revision rhinoplasty may be more complicated, taking longer than a traditional rhinoplasty.


Revision rhinoplasty benefits


Revision rhinoplasty has similar benefits to primary rhinoplasty surgery. Some common benefits include

  • Enhanced facial harmony: Revision rhinoplasty corrects a bulbous nasal tip, and bent or crooked nose to achieve a symmetrical nose.
  • Improved breathing: A revision rhinoplasty can also correct sleep apnea by creating a better functioning air passageway. The rhinoplasty adjusts nose structure and removes nasal obstruction through septoplasty, improving breathing.
  • Symmetrical and conical nose tip: Revision rhinoplasty reshapes the nose, bulbous or boxy nose tip, and gives a sharp, conical-shaped nose that gives you a more youthful and balanced facial appearance.
  • Increased self-confidence: You can reclaim your self-confidence with revision rhinoplasty, which you expected from the prior rhinoplasty, because it revitalizes a symmetrical nose appearance and boosts your confidence for having a better facial appearance.


How is revision rhinoplasty done?


The procedure is performed under anaesthesia. The type of incisions involved in rhinoplasty depends on which type of rhinoplasty is planned: open or closed. If the surgery is done via closed incisions, they are primarily internal or through a very small external incision.

However, depending on the individual’s case and complications, it can also demand open surgery where the bone and cartilage are accessed and altered through an external incision. Also, if the bulbous nose is to be adjusted into a conical shape, it is done through sutures, and the nose is reshaped.

While doing the nose surgery or revision rhinoplasty, the following components are worked upon and  taken care of

  • Upper nose (nasal bones)
  • Middle nose (including bridge and cartilage)
  • Nose tip (including nostrils)
  • Functional components of the nose, including the- septum, turbinates, and nasal valves

Depending on where more correction is needed, the work is done.


Revision Rhinoplasty Recovery and aftercare


Revision Rhinoplasty recovery and aftercare includes

  • Using cold or warm compresses to reduce swelling, bruises and pain.
  • Cleaning surgical incisions twice a day.
  • Keeping the head elevated for the maximum time to sleep, rest, or relax.
  • Avoiding exercise and jerking activities.

Although complete recovery can take up to a year, but you can get back to normal life in just 2-weeks.  You have to avoid exercises that pressurise the nose.

MPSI is one of the highly renowned centres for plastic surgeries like rhinoplasty and revision rhinoplasty. Our surgeons, Dr Adnan and Dr Rory hold 20+  years of experience in doing flawless plastic surgeries.

Contact MPSI to reclaim your confidence with the revision rhinoplasty!