Revision Rhinoplasty
Revision Rhinopalsty in London • Dr Amir Sadri • Consultant Plastic Surgeon • FRCS Plast
What is a Revision Rhinoplasty?
Revision rhinoplasty, also known as secondary rhinoplasty, is performed to correct or improve concerns following a previous nose surgery. It may address appearance, nasal structure or breathing problems, depending on the case. Revision cases are often more complex because of scar tissue and changes to the nasal framework from earlier surgery, so a carful individual assessment is essential.
Why Choose Dr Amir Sadri
- Consultant Plastic Surgeon at Great Ormond Street Hospital
- GMC Specialist Register for Plastic Surgery
- FRCS (Plast) Qualified
- 15+ Years’ Experience
- Specialist interest in Rhinoplasty & Facial Surgery
- 40+ Peer-reviewed Publications
Before & After Revision Rhinoplasty
View examples of revision rhinoplasty results by Dr Amir Sadri. Results vary between patients and depend on anatomy, healing, previous surgery and induvidual treatment goals.
Reasons for Revision Rhinoplasty
There are several reasons why a person might seek revision rhinoplasty:
- Concerns about apperance after previous nose surgery: This may include asymmetry, visible irregularities, a change in tip/bridge shape or a result that does not match expectations.
- Breathing or Functional Problems: In some cases, structural changes after rhinoplasty can contribute to nasal blockage or reduced airflow. A revision assessment can look at the septum and nasal valve support where relevant.
- Overcorrection or Undercorrection: Sometimes too much (or too little) change was made to the nasal framework. Revision surgery may help restore balance and improve overall harmony.
- Scar Tissue or Healing-related changes: Healing varies between patients. Scar tissue, cartilage shift or settling over time can affect shape and function and may contribute to ongoing concerns.
A consultation helps identify the cause of your concerns and whether revision rhinoplasty, or another treatment, is appropriate.
Revision Rhinoplasty Risks
Revision rhinoplasty is often more complex than primary rhinoplasty because the nose has already been operated on. Scar tissue, altered anatomy and limited cartilage support can all affect planning and healing. Every procedure carries risks, and your surgeon will explain what is relevant to your nose, goals and medical history.
View revision rhinoplasty risks
- Bleeding or infection (as with any surgery)
- Prolonged swelling and longer settling period than primary rhinoplasty
- Scar tissue and stiffness, which can affect definition and symmetry
- Asymmetry or irregularities, especially in complex cases
- Breathing changes, particularly if septum or nasal valve support is involved
- Skin/soft tissue healing issues (rare, high risk in smokers)
- Temporary numbness or altered sensation
- Need for cartilage grafting (sometimes ear or rib cartilage) if support is limited
- Possibility of further revision, depending on healing and tissue behaviour
- Realistic expectations: the goal is improvement in shape and/or breathing, but perfection isn’t always achievable after previous surgery
Individual Considerations
The best results come from careful assessment and realistic planning. During your consultation, we consider factors such as your original rhinoplasty technique, scar tissue, skin thickness, nasal support and whether breathing concerns (such as septum or nasal valve issues) are contributing to the symptoms. In some cases, cartilage grafting is recommended to restore structure and long term support. A tailored plan helps you understand what is achievable, likely recovery time and the safest approach for both appearance and airflow.
Thinking about Revision Rhinoplasty?
Arrange a consultation to discuss your concerns after previous rhinoplasty and whether revision surgery may be appropriate.
Revision Rhinoplasty Surgeon
Revision rhinoplasty is a highly specialised procedure that usually requires greater surgical planning, experience and judgement than primary rhinoplasty. Scar tissue, altered nasal structures and functional concerns can all make revision surgery more complex, so it is important to choose a surgeon with specific expertise in revision rhinoplasty.
With over 15 years of experience in rhinoplasty and facial surgery, Dr Amir Sadri provides a tailored approach to revision rhinoplasty, carefully assessing each patient’s anatomy, concerns, and goals. Every revision procedure is planned on an individual basis to address both aesthetic and functional issues, with a focus on safe, balanced, and natural-looking results.
Revision rhinoplasty Consultation
A revision rhinoplasty consultation starts with a detailed assessment to understand your concerns after previous surgery and what may be realistically achievable. Because the nose has already been operated on, planning often needs to take account of scar tissue, changes to cartilage support and any breathing concerns.
During your consultation, Dr Sadri will usually:
- Discuss your goals and concerns after previous surgery
- Review your medical and surgical history, including when your rhinoplasty was performed
- Examine the inside and outside of the nose, including septum and nasal valve support where relevant
- Take clinical photographs and discuss the changes you hope to achieve
- Explain surgical options, likely limitations and what improvement may be realistic
- Outline recovery, risks and the follow-up plan
In some cases, revision rhinoplasty may involve structural support using cartillage grafts, depending on what is needed and what tissue is available. Your plan will always be tailored to your anatomy and priorities.
Revision Rhinoplasty FAQs
Find answers to common questions about revision rhinoplasty, recovery, cartilage grafts and consultations.
How long should I wait before revision rhinoplasty?
Most surgeons recommend waiting at least 12 months after your first rhinoplasty before considering revision, as swelling and scar tissue can take time to settle. However, if you have significant breathing problems, collapse, infection or a concern that’s worsening, a review can be appropriate sooner.
Why can breathing feel worse after previous nose surgery?
Breathing issues after rhinoplasty can happen if the septum is deviated, the nasal valves are weakened or internal swelling/scar tissue narrows the airway. A revision assessment looks at nasal airway, septum and valve support to understand what’s causing obstruction and what can realistically be improved.
Is revision rhinoplasty more complex than primary rhinoplasty?
Yes. Revision rhinoplasty if oftem more complex because the anatomy has already been altered and there may be scar tissue, reduced cartilage support or previous grafts. Careful planning and an experienced approach are important to achieve a stable, natural-looking result.
Will i need cartilage grafts (ear or rib)?
Some revision cases need additional support using cartilage grafts, particularly if the nose has been over-reduced or the nasal valves need strengthening. Grafts can sometimes be taken from the septum, but if there isn’t enough available, cartilage may be taken from the ear or occasionally the rib, depending on what’s required.
What concerns can revision rhinoplasty help with?
- Asymmetry or visible irregularities
- Tip or bridge shape concerns
- Collapse / pinching and breathing restriction
- Overcorrection and under correction
- Changes that develop as swelling settles or scar tissues matures
A consultation helps confirm whether revision is appropriate or whether a non-surgical option could help.
What is recovery like after revision rhinoplasty?
Recovery varies depending on the complexity of the revision. Most patients need 1-2 weeks off work for the early healing phase, and swelling continues to settle gradually over months. Your surgeon will advise when its safe to return to exercise and normal routines, and what to expect at each stage.