Rhinoplasty Revision

A revision rhinoplasty, also known as a secondary rhinoplasty or corrective rhinoplasty, corrects problems or imperfections from a previous nose job. These may include dissatisfactory aesthetic outcomes or functional difficulties that were absent before the first surgery. Revision rhinoplasty is a highly complex surgery in which Barrett surgeons are expertly trained.  

Is Rhinoplasty Revision right for you ?

Pre and Post Operative Instructions

Rhinoplasty revisions are an excellent option for many patients with aesthetic or functional concerns about their previous rhinoplasties. Patients must be fully healed from their initial rhinoplasty, which may take a year or longer. This is critical to ensure swelling has completely subsided and scar tissue has softened, making revising possible. 

Cosmetically, patients may seek a rhinoplasty revision if their first surgery did not meet their goals, if they feel their new nose does not fit their face, or if they seek some additional refinement to the nose. Functionally, patients may opt for this procedure if there are new structural problems with the nose, like a deviated septum, breathing problems, or injury to the nose after their initial rhinoplasty. 

During the initial consultation, your surgeon will understand your surgical history, learn your desires, and conduct a thorough exam to help determine whether a rhinoplasty revision is the correct procedure to achieve your goals. 


Correct structural deformities to improve breathing


Adjust asymmetries from an initial rhinoplasty


Strengthen a nose that has become weakened from over-correction


Improve the appearance of the nose


Before the surgery

Rhinoplasty revisions differ significantly depending on the individual patient's needs, problems, and aesthetic goals. Rhinoplasty revisions are an extremely complicated procedure due to potentially depleted cartilage, scar tissue, and more. In some cases, a graft or implant is needed to achieve the desired shape and strengthen the internal nasal structure. During your consultation, your surgeon will examine your nose, understand your history, and work with you to create a surgical plan to meet your needs and exceed your expectations. 

Preoperative preparation may include
Stop smoking
Fill prescriptions
Stop taking medications and supplements that exacerbate bleeding
Plan time away from work, childcare, and pet care for recovery.
Find a family member or friend to bring you home and assist you after surgery.

During the surgery

Whenever possible, incisions are placed inside the nose to minimize visible scarring. Small incisions may be necessary underneath the nose between the nostrils to allow for full access to the internal structure. 

If a graft is needed to supplement insufficient cartilage in the nose, it is typically harvested from an ear or rib. Soft tissue may also be grafted to create a natural-looking result. The surgeon will repair structural damage internally to restore breathing function when necessary. All incisions are closed using specialized suturing techniques and following a detailed scar protocol to minimize postoperative scarring. 

A touch-up rhinoplasty is a shorter procedure to correct very minor imperfections and can sometimes be done under local anesthesia and sedation.

Surgery duration
8 hours

After the surgery

After surgery, patients commonly experience some swelling, bruising, bleeding, and general soreness. Some of these symptoms may be more pronounced than they were after your first procedure, but typically only last for a few days. Patients usually feel ready to return to regular activities within one to two weeks. Bruising may last up to two weeks, and a small degree of swelling may persist for up to a full year.

The Barrett team will provide comprehensive instructions on caring for your nose as it heals to ensure an optimal outcome and minimize scarring. Your surgeon will see you personally in our office throughout your recovery to track your progress and ensure you are healing correctly.

7 days
Healing Time
6 months to 12 months
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