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When is Revision Recommended?

Should I Get a Second Nose Job?

Chances are you hoped your primary rhinoplasty would be your first and only nose reshaping procedure, but revision rhinoplasty is sometimes necessary. Widely quoted statistics show that between 15 and 20 percent of people who have a nose job will have a revision nose surgery at some point.

Revision rhinoplasty may involve some minor tweaking soon after the initial procedure, or it can be a more involved surgery that occurs further down the road.

There are many reasons that revision rhinoplasty is indicated or desired. For starters, nose reshaping results are not always predictable. You may not have healed how you, or your surgeon, had expected. Maybe your new nose just doesn’t look as you had hoped. Sometimes it may have been over-corrected (now your nostrils are too thin), or other times the refinements may be too subtle for your taste (they are still too wide). If your nose surgery involved the use of a graft or implant, it may have shifted. Perhaps you are experiencing to breathing problems or another functional concern that occurred after your primary nose surgery or was not corrected by it.

Other times, your nose may look fine initially and changed with time. Some people who seek revision rhinoplasty may have body dysmorphic disorder (BDD), or a preoccupation with an imagined or slight physical flaw. These individuals will likely not be satisfied with the results of the rhinoplasty or the revision surgery.

When is Revision Rhinoplasty Recommended?

The bottom line is that there are likely as many reasons for revision rhinoplasty as there are for primary nose surgery. The key is to wait a requisite amount of time to make sure that the swelling has abated. While some cosmetic and functional changes are noticeable much earlier, full rhinoplasty results take time to be realized– often as much as one year.

Depending on the nature of the complication or reason for revision nose surgery, your initial surgeon may not charge you for the procedure. If, however, you are unhappy with your first nose surgeon, you can and should seek the opinion of another facial plastic surgeon who has experience performing revision rhinoplasty. If your initial surgery was performed a long time ago or when you lived in a different city or state, you may want to see another surgeon.

Revision rhinoplasty is considered one of the most technically challenging surgeries. Make sure to ask the surgeon how many revision nose surgeries that they perform, and ask to see before-and-after photos.

Listen to your chosen surgeon’s advice about what can and can’t be done, and follow their s pre- and post-operative instructions carefully. This will help maximize your satisfaction with the results of your revision nose surgery.