Revision rhinoplasty, also known as secondary rhinoplasty, is a complex procedure to reshape or resize the nose after the initial procedure. This surgery is performed on patients who are dissatisfied with the aesthetic or functional results of the original procedure and seek additional corrective surgery. Reasons for dissatisfaction with the original procedure may include a complicated pre-surgical condition, an inexperienced surgeon or a faulty healing process. Because of its complexity, revision rhinoplasty requires the skills of a highly trained specialist. Getting a rhinoplasty procedure (nose job) is one of the top ways to enhance your appearance and feel more confident. In some cases, a rhinoplasty is performed to improve breathing, along with improving nose shape, projection, and size. No matter your reason for needing a rhinoplasty, board-certified plastic surgeon Dr. Dibelius, can help.


Problems patients complain of after the initial rhinoplasty procedure may range from minor cosmetic imperfections to serious medical problems and may include:

  • Nostril deformities
  • Nasal bone fractures
  • Cautery burns
  • Septal tears
  • Breathing difficulties
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Anyone who is unhappy with the results of their initial rhinoplasty procedure may be a candidate for revision rhinoplasty. Patients should discuss their initial procedure with their surgeon in order to determine the new goals of the revision. It is important that the patient be emotionally and financially prepared for additional surgery. Through consultation and physical examination, the doctor will help determine whether or not revision surgery is an appropriate course of action.


The revision rhinoplasty procedure is usually performed on an outpatient basis under deep sedation or general anesthesia to help reduce any potential discomfort. The surgery is typically performed using an open technique, allowing for greater visualization of the nasal cavity because the already-reshaped bone and cartilage may be more difficult to sculpt.

In cases where reshaping is difficult, a cartilage graft from the nasal septum, ear or rib may be required. Injectable fillers may also be used to correct small defects after the initial procedure, although use of the patient’s own cartilage is preferred. The entire procedure usually takes two and a half to four hours to perform.

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While generally a safe procedure, revision rhinoplasty carries the same risk factors as the original procedure.The second surgery, since it involves skin thickened by scar tissue, less cartilage within the nose, and nasal airways that may have been affected by the earlier surgery, is more complicated than the initial one. Risks of revision rhinoplasty may include:

  • Excessive bleeding
  • Injury to the septum, the wall between the nostrils
  • Skin irritation and even skin necrosis
  • Infection
  • Nasal blockage caused by swelling
  • Complications of anesthesia
Thank you so much for the excellent care you provided to me when I fell and broke my nose in 3 places. It was a traumatic experience for me until you began treating me. You were so kind, knowledgeable and reassuring that I was comfortable placing complete confidence in you.
My experience with Dr. Dibelius has been unparalleled to any other experience with a doctor. His dedication to his patients and work ethic are above and beyond. I would highly recommend him to anyone.
AMAZING! He is so knowledgeable and knows what he is doing! He has completely changed my life! I can finally breathe thanks to him! 2 years of sinus infections and countless doctors couldn’t fix.. he did! He’s amazing!!
I recommend Dr. Dibilius wholeheartedly to anyone that reads this. He is a Doctor that is knowledgeable, patient, and generous with his time to go over any questions you may have. As a surgeon, he is well skilled in his craft.
From my initial visit with Dr. Dibelius, I was comfortable and at ease. He was friendly and compassionate. Not once did he interrupt my questions and managed to satisfactorily answer all of my concerns. He was truly interested in the precise and complete correction of a very complex problem involving my nose which was very [...]

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