It is a shared idea among surgeons that rhinoplasty, as a cosmetic surgery, is sometimes challenging to get right. While most rhinoplasties provide great success, some will fail to produce the right results. Revision rhinoplasty at Austin Plastic Surgery Institute is a procedure that addresses a specific problem resulting from an original nose surgery. In some cases, if the initial approach was too aggressive, the result can be a significant loss of cartilage and bone, which explicitly affects the nasal contour and function. When considering a revision procedure, a board-certified plastic surgeon’s experience and skill, like our Austin PSI surgeons, is truly important for best results.
"Dr. Gorman and his staff are absolutely amazing! They are genuinely nice people and go above and beyond to answer all your questions and make you feel comfortable with getting your surgery. I have never been at a doctor's office that is so warm and inviting. I am so glad I found Dr. Gorman and highly recommend him. I would also like to recommend Lauren for your Botox needs. She is absolutely amazing and so sweet and gentle. I love her so much! Thank you Dr. Gorman and staff! Y'all are the best!"- M.W. / Facebook / Feb 06, 2017
"Best experience. Dr Wilder is great, Mitzi is amazing and soo Sweet and Trisha is so wonderful. The whole experience from calling and setting up appointments to consult to surgery to post was all so comforting. Highly recommend Dr Wilder"- A.D. / Google / Sep 20, 2018
"I am 4 weeks Post op Tummy Tuck/Lipo and breast Lift and everyday I am loving my results more and more. Dr. Gorman and his staff are super nice and caring. Scheduling an appointment is never an issue . I never have to wait no more than a few minutes in the waiting room or exam room. From Day 1, Dr. Gorman made me feel comfortable and at ease the day of surgery. He made sure to educate me on what I was wanting to get done and not once did he push me to getting anything else. Margaret is wonderful! She made sure I was taken care of the entire time. I would highly recommend Dr. Gorman to anyone who asks. Thank You Dr. Gorman and Staff."- J.V. / Google / Sep 07, 2018
"I am 16 days Post op Tummy Tuck/Lipo and breast Lift and everyday I am loving my results more and more. Dr. Gorman and his staff are super nice and caring. Scheduling an appointment is never an issue . I never have to wait no more than a few minutes in the waiting room or exam room. From Day 1, Dr. Gorman made me feel comfortable and at ease the day of surgery. He made sure to educate me on what I was wanting to get done and not once did he push me to getting anything else. Margaret is wonderful! She made sure I was taken care of the entire time. I would highly recommend Dr. Gorman to anyone who asks. Thank You Dr. Gorman and Staff."- J.V. / Google / Aug 26, 2018
"I honestly wish I had the option to put 1000 stars. This was my first plastic surgery experience and it couldn't have been better. Dr. Gorman was absolutely amazing and exceeded all of my expectations. I had been shopping around before choosing him and the day I had my consultation, I knew they were the one! I put my deposit down that day. He was so friendly and knowledgeable. He gave me the feeling of comfort I was looking for. They even went above and beyond when scheduling the surgery. I knew I would be anxious the day of surgery because it's a big thing and it was new to me (I'm also a worry wart) but I didn't get anxious once. Even going into the OR. His entire team was great! When I woke up, they were very helpful and I felt great the rest of the day. He did such an amazing job I didn't have to take ONE pain pill or sleeping pill- not even ibuprofen. They said that I may bruise- I never bruised. Not even a little bit. I could brag all day about how wonderful my experience was. I am now 3 weeks post op and my breasts are everything I wanted them to be! If you are shopping around, THIS is who you want your surgery done by! Thank you Dr. Gorman!!!!!!!"- J.L. / Yelp / Aug 15, 2018
Full Rhinoplasty Revision
Secondary rhinoplasty can be challenging as the surgeon works to correct or fix a problem stemming from the first surgery. During this procedure, the majority of surgeons will use an open approach. This entails separating the skin from the support framework of cartilage and bone, which offers the surgeon full access to the structures within the nose. The surgeon will re-sculpt the nose to a more desired shape depending on the problem being addressed. If additional tissue is needed, an autologous approach is typically taken, which uses cartilage and bone from the patient.
Some patients may be happy with the look and feel of their nose following surgery, but need a slight touch-up. This may include a visible bump or edge on the tip of the nose. The imperfection is usually found and discussed during a post-operative appointment and it is common for the original surgeon to address the issue. This surgery is less complex than the original surgery and may only involve slight shaving of the bone. It usually produces results both the patient and surgeon are content with.
Secondary rhinoplasty is performed under general anesthesia in an accredited surgical facility. The duration of this surgery depends on whether the nose is being fully reconstructed or a minor alteration is being made. After surgery, patients will wear a nose splint and will experience bruising and swelling. For patients undergoing revision surgery, the process can be somewhat unnerving. The goal is for the nose to return to a natural, non-surgical appearance. If an experienced surgeon is performing the procedure, the results are often very good.
Plan Your Procedure
- Average Cost
- From $6,200
- Recovery Time
- 1-2 weeks
- Post-op Follow-up
- 3-4 weeks
- Procedure Recovery Location
Revision Rhinoplasty FAQs
An experienced nose surgeon who is trained and skilled in revision surgery will understand the dynamics behind what went wrong during the first operation and how to correct the problems with a secondary procedure. While the procedure itself can be quite complex, the results are often pleasing for the patient. It is extremely important to do your research when looking for a revision specialist.
In some cases, cartilage grafting will be needed in order to produce the desired results. This can be done by taking cartilage and bone from another part of the body, such as the ribs, and using it to correct a certain nasal structure. Cartilage and bone grafting are usually only needed in more severe cases, including framework reconstruction.
Revision rhinoplasty is actually somewhat common. It varies by practice and by rhinoplasty surgeon, but some experts put minor revision rates between 5-15%. A large majority of these patients desire only tweaking and minor adjustments. True reconstruction and major revision cases are on the lower end of the spectrum.