What is a Revision Rhinoplasty?

Rhinoplasty is one of the plastic surgeons' most difficult and artful procedures. Undergoing primary rhinoplasty can require a leap of faith—and when the results are poor, patients can be left shocked and unhappy with their decision. In fact, a subpar rhinoplasty can leave patients more self-conscious than before the procedure. Finding a proficient surgeon in the complex art of revision rhinoplasty is important in such a case. Our board-certified plastic surgeons have been performing revision rhinoplasty in San Diego for over two decades, routinely helping their patients get the result they sought the first time.

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Revision Rhinoplasty: Table of Contents

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Restoring Your Nose After an Earlier Rhinoplasty

Revision rhinoplasty is a highly customized technique. Every patient presents with a different set of complications, and various techniques may be necessary to achieve an ideal result. Dr. Chasan, board-certified plastic surgeon, will spend the necessary amount of time to examine your nose, listen to your goals, and generally work to achieve complete understanding prior to the procedure. He will clearly lay out his surgical plan, making you a full partner in your road to a happy, healthy, beautiful nose.

Revision Rhinoplasty: Before & After

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What Can Revision Rhinoplasty Correct?

Revision rhinoplasty is a highly specialized procedure designed to correct both cosmetic and functional issues that remain after an initial nose surgery. At Ranch & Coast Plastic Surgery, Dr. Chasan has helped countless patients restore both confidence and comfort by addressing complications from previous rhinoplasties.

Virtually any nose-related concern can be improved or corrected. Whether you're dealing with aesthetic dissatisfaction or functional breathing problems, a revision procedure can offer a second chance at achieving the results you originally envisioned.

Common Concerns Addressed by Revision Rhinoplasty:

  • A nose that appears unnatural or overdone
  • An under-corrected nasal bridge, leaving a hump or prominent profile
  • An over-corrected bridge resulting in a “saddle nose” or collapsed appearance
  • An uneven or crooked nasal tip
  • Asymmetry or irregularities in the bridge or overall nasal shape
  • A nose that feels too large or too small in proportion to the face
  • Breathing difficulties or airway obstruction following the initial surgery

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What are the Benefits of Revision Rhinoplasty?

Whether correcting breathing issues, refining the nasal shape, or achieving better balance with your facial features, this procedure offers the following benefits:

  • Addresses obstructions that impact airflow and nasal function
  • Refines irregularities or asymmetry left by previous surgery
  • Resolves concerns such as a dorsal hump, crooked bridge, or bulbous tip
  • Achieves a more harmonious appearance that suits your facial proportions
  • Helps patients feel more confident and satisfied with their overall appearance
  • A tailored approach ensures results that meet your unique goals and concerns

How is a Revision Rhinoplasty Performed?

As mentioned, the revision rhinoplasty procedure will be different for each patient. Following are some techniques our surgeons may use:

  • In the case of excess cartilage that should have been removed in the primary procedure, our surgeons will precisely remove the exact amount necessary to retain structure and produce an aesthetic result.
  • In the case that too much tissue was removed, the procedure will be more complex. Our surgeons may use cartilage from other parts of the body to reinforce the nasal structure and ensure the nose is cosmetically in balance with the rest of the face.
  • If the skin on the nose is very tight, the surgeon will use precise techniques to restore a natural appearance to the nose and face.

In addition to the above, our board-certified plastic surgeons have an extremely thorough knowledge of the entire nasal structure. They can use this knowledge to fluidly addresses whatever combination of complications are presented. All told, the revision rhinoplasty patients are grateful following their procedure, having finally achieved the results they originally desired.

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Am I a Good Candidate for Revision Rhinoplasty?

Ideal candidates generally meet the following criteria:

Concerns-Based Criteria

  • Dissatisfaction with the aesthetic results of a previous rhinoplasty
  • Breathing difficulties or nasal obstruction
  • Asymmetry, a collapsed bridge, or uneven nasal tip
  • Scar tissue or irregularities that have impacted healing

Health-Related Criteria

  • Good overall health with no uncontrolled medical conditions
  • Fully healed from the previous rhinoplasty (typically 12+ months)
  • Non-smoker or willing to quit before and after surgery

Revision Rhinoplasty Reviews

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Dr Chasen is amazing. He did my revision rhinoplasty which I was super nervous about but I'm so glad I decided to go with him. He was the third dr I had a consultation with and I knew right away I wanted him to do my surgery. I'm 6 weeks out and still very swollen (it was not an easy procedure) but so happy with my profile. I can tell it's going to look even better once the swelling goes down. I definitely recommend Dr. Chasen!
After a botched septoplasty I had thought it hopeless, as 5 other surgeons had said my nose was inoperable. Dr. Chasen was skilled and confident enough to not only perform a complicated revision rhinoplasty, but also allow me to see ‘myself’ in the mirror again. I was beyond words & in tears when the cast came off. Thank you Dr. Chasen for giving me back what I’d thought was lost forever, my confidence & recognizability.
I researched almost every day for a whole year, I would look at every gallery picture for every doctor that was known for Rhinoplasty revisions, until I found Dr. Paul Chasan. I knew when I read everything, listened to all of his videos, read every review, that I found the best.
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Why Choose Ranch & Coast for Revision Rhinoplasty?

When undergoing revision rhinoplasty in San Diego, it is important that your surgeon is extremely skilled in manipulating the tissues of the nose. Revision rhinoplasty presents many complexities, and only a master surgeon should be sought for the job. While our surgeons deliver the full array of face, body, and breast procedures, they possess a particular forte in the delicate facial procedures, particularly rhinoplasty and revision rhinoplasty.

With over two decades of experience in the field, our doctors and team have created a practice filled with friendly, professional, and highly trained staff. At Ranch & Coast Plastic Surgery, you can expect every step of your journey to be met with total responsiveness and attention to detail. After all, you have trusted us to perform your revision rhinoplasty, and we want you to get the result you were seeking the first time around.

Revision Rhinoplasty FAQ

How Soon After My Primary Rhinoplasty Can I Undergo Revision Rhinoplasty?

It's generally recommended that you wait at least 12 months after your primary rhinoplasty before undergoing revision. This allows for full healing as swelling and tissue changes continue for up to a year, making it easier to assess the final result.

Will Revision Rhinoplasty Take Longer to Perform Than My Initial Surgery?

Due to its complexity, revision rhinoplasty often requires a longer surgical time. The need to correct previous alterations, rebuild structure, or use grafts adds intricacies that make revision procedures generally more time-intensive than primary rhinoplasties.

What Are the Risks Unique to Revision Rhinoplasty?

Revision rhinoplasty carries some specific risks, such as increased scar tissue, compromised blood supply, and the potential for more challenging healing due to previous surgical alterations. Choosing an experienced surgeon such as Dr. Chasan can help mitigate these risks.

Can Revision Rhinoplasty Improve My Breathing if I’ve Had Difficulty Since My First Surgery?

Yes, revision rhinoplasty can address functional issues, including breathing difficulties, that may have resulted from the initial surgery. To improve airflow, structural adjustments or additional support for the nasal passageways are often part of revision procedures.

How Much Swelling Should I Expect After Revision Rhinoplasty Compared to the Initial Surgery?

Swelling after revision rhinoplasty can be more pronounced and last longer than after the initial surgery, especially if grafting or extensive reconstruction is involved. Most swelling subsides within a few months, but minor residual swelling can persist for up to a year.

Can Revision Rhinoplasty Correct an “Overdone” Appearance?

Yes, many patients seek revision rhinoplasty to address an overly refined or unnatural look. Skilled surgeons like Dr. Chasan can reshape the nose, soften its appearance, and restore a more natural look that complements the patient's facial features.

How Long Will the Results of a Revision Rhinoplasty Last?

Revision rhinoplasty results are generally long-lasting, but natural aging processes will still impact your nose’s appearance over time. Barring major trauma or significant weight fluctuations, revision rhinoplasty can provide results that last a lifetime.

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