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01 June 2020 |

  Secondary Rhinoplasty

Rhinoplasty is surgery to reshape the nose. Also known as Nose Job.

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Secondary Rhinoplasty:

The term rhinoplasty refers to plastic surgery of the nose, often known by most people as a “nose job.” A secondary rhinoplasty is corrective nasal surgery that serves to alter the form and/or function of the nose after a previous rhinoplasty. Secondary aesthetic and reconstructive nasal re-shaping is indicated for cosmetic or functional deformities not properly treated or made worse from the primary operation. Some also refer to secondary rhinoplasty as “revision rinoplasty.” This broader terminology can apply to rhinoplasty required beyond a secondary operation, such as a third or fourth operation.

Patients request secondary rhinoplasty to address specific imbalances that persist, are newly created, or that have become more severe. Often the nose is imbalanced or in disharmony with the rest of the facial features due to an un-anticipated healing complication, improper, or incomplete surgical maneuvers. A secondary rhinoplasty is often much more complicated than a primary rhinopasty. The first time in rhinoplasty is always the best time to address all the cosmetic and functional nasal issues, however with appropriate application of advanced techniques by a rhinoplasty specialist, secondary procedures can be successful. The majority of surgeons who specialize in rhinoplasty also have necessary experience with more complex revisional surgeries and will be able to address patient concerns. Of course, as with primary rhinoplasty, your expectations and goals need to be appropriate and thoroughly discussed with your surgeon. It may be helpful to bring in photos of your nasal appearance prior to your previous operation. Your rhinoplasty surgeon may also request previous operative records and medical records, although this is not mandatory.

Common Problems that Require Secondary Rhinoplasty:

Nasal airway obstruction
Collapse of cartilage or nasal bones
Artificial cosmetic appearance to nose (“Overdone nose job”)
Internal and external nasal valve collapse
Worsened asymmetry
Over reduction or inadequate reduction of dorsal height (bridge height/hump)
Incomplete shaping (not enough of a cosmetic change)
Excessive or inadequate tip projection
Excessively narrowed nasal tip (“pinched tip”)
Excessive internal and/or external scarring (thickened scar tissue)


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