Revision Rhinoplasty: Risks and Complications in Rhinoplasty

Learn About Revision Rhinoplasty in New York City with Dr. Andrew Jacono.

What Is Revision Rhinoplasty?

Revision rhinoplasty corrects the results of a previous, unsatisfactory nose job. Dr. Jacono believes that this procedure should address not only aesthetic issues but functional problems, like breathing difficulties.

Many patients request a smaller nose. Prior surgery may leave behind a nasal hump (polly beak deformity), a droopy tip, and wide nostrils. Each patient has a unique facial anatomy, so all revision nose jobs must be individually tailored.

During revision rhinoplasty, Dr. Jacono uses the body’s natural bone and cartilage to restructure the nose. He does not use synthetic implants, like silicone, Gore-Tex, or Medpore, which run the risk of becoming infected.

He usually harvests cartilage from the ribs or ears, but in severe cases where a collapsed “saddle nose” is present, he uses calvarial bone from the skull to restructure it.

Patients from all over the world travel to have surgery with Dr. Jacono because he is the best revision rhinoplasty surgeon in New York. His specialized background in facial plastic and reconstructive surgery makes him uniquely qualified to perform outstanding revision rhinoplasties.

What Is the Difference Between Secondary and Primary Rhinoplasty?

Primary rhinoplasty corrects nasal issues in patients who have not had a prior surgery. It is easier to perform than secondary rhinoplasty, as revision cases have the added burden of working with scar tissue.

Secondary rhinoplasty focuses on correcting the results of a prior rhinoplasty. Some patients undergo more than one secondary rhinoplasty if their nose has been severely deformed by surgical or physical trauma.

Is Nose Surgery Complicated?

Rhinoplasty is one of the most difficult cosmetic surgical procedures. Not all surgeons are equipped to perform a great nose job, which is why some patients opt for a revision procedure. Secondary rhinoplasty is even harder to perform, often requiring advanced techniques like cartilage grafting.

When Should You Have a Secondary Nose Job?

Any patient who is unhappy with the results of a previous rhinoplasty is a good candidate for this surgery. However, all clients should be fully healed from prior surgery before undergoing another rhinoplasty. Typically, the wait time is around 12 months, though some patients heal quicker than others.

Revision Rhinoplasty Recovery

While a primary nose job heals in about a year, a revision rhinoplasty can take two years to heal. It can take even longer if a patient has had multiple nose jobs.

Recovery times are longer because the procedure causes more swelling. There are ways to mitigate swelling, one of which is through injections of a steroid called Kenalog (also known as triamcinolone). Because revision rhinoplasties sometimes require cartilage grafts, patients should know that the nose may look bigger before swelling subsides.

Revision Rhinoplasty Cost

The cost of a revision rhinoplasty can be double or more than the cost of primary rhinoplasty. This is because:

• Can take up to three times as long to perform.
• Require cartilage grafts from the ears, ribs, or both.
• Require advanced clinical knowledge and ability.

There are fewer surgeons who have been trained in revision rhinoplasty than in primary rhinoplasty.

Why Choose Dr. Jacono for Your Revision Nose Job?

Dr. Jacono is a dual board-certified facial plastic surgeon with over twenty years of experience. He has extensive training in revision procedures and delivers the best, most natural-looking results possible. 

Please contact our offices in New York City or on Long Island to see if you are a candidate for surgery with Dr. Jacono.

Revision Rhinoplasty Before and After Photos

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