Revision rhinoplasty, also known as secondary rhinoplasty, is a complex procedure to correct aesthetic or breathing problems with the nose after an initial surgery. Revision rhinoplasty is performed on patients who are dissatisfied with the aesthetic or functional results of the original procedure and seek additional corrective surgery.  Because of its complexity, revision rhinoplasty requires the skills of a highly trained specialist, ideally who focuses on revision rhinoplasty. Even many surgeons who perform rhinoplasty in NYC do not necessarily feel comfortable performing more complex revision rhinoplasty cases and frequently refer these cases to revision rhinoplasty specialists.  This can be a frustrating path for many patients, but it is important to know that revision rhinoplasty can be a rewarding procedure if in the right hands. 


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 deformities
  • Breathing difficulties
  • Tip deformities
  • Excessive nose size reduction or narrowing
  • Nasal valve collapse
  • Nasal or septal deviation
Screenshot at Mar 16 00 34 37
Rhinoplasty Manhattan Dr Dibelius Revision Rhinoplasty Doctor


Dr. Dibelius is a highly-regarded revision rhinoplasty surgeon in NYC.  His practice is dedicated to rhinoplasty exclusively and he has been trained by the world’s best in the most advanced revision rhinoplasty techniques.  

Beyond that, Dr. Dibelius recognizes that a revision rhinoplasty patient is different from a typical first-time or primary rhinoplasty patient.  Revision rhinoplasty patients often have a lot of anxiety, both about their nose’s appearance as well as about choosing the right doctor or procedure, as in many cases the first operation did not work out as they had hoped.  They have often spent hours researching and can feel overwhelmed at the lack of good information available.  Seeking consultations from many different surgeons is an expensive endeavor and does not always lead to clear answers, leading to even more frustration.

Dr. Dibelius’s consultation is unique in that it is highly patient and problem-focused with a primary goal of education.  He performs a thorough examination and makes it a priority to review the case from top to bottom, including any photographs, medical records, or any other items the patient wishes to review.  He reviews the procedure and what may be required to fix the problem in detail so there is no confusion about what is going to be done and what the patient can expect.  Dr. Dibelius strongly disagrees with the modern trend of the 5-minute consult and believes that revision rhinoplasty in particular requires meticulousness and a careful attention to detail.  Revision rhinoplasty consults often take up to 60 minutes to fully review a complex case and even then requires follow up for additional questions after the initial consult.  Our goal is to answer every question and help our patients truly understand the revision rhinoplasty process, so that they can feel comfortable making decisions about their revision rhinoplasty.


Dr Dibelius is a talented plastic surgeon. He is extremely knowledgeable, professional and compassionate. I came to Dr Dibelius for a rhinoplasty revision for functional and aesthetic reasons. After my initial surgery I unfortunately suffered from a trauma injury that re-broke my nose requiring a more complex revision. I am so happy with the outcome. I highly recommend him for your rhinoplasty surgery needs. If you are looking for a revision specialist talk to Dr Dibelius!

This doctor is simply operating on another level - literally and figuratively. Decades after a primary rhinoplasty and a revision with another board-certified plastic surgeon two years ago, my nose was not functional and looked twisted. I could not breathe properly and was not participating in life because of how my nose looked. Dr. Dibelius met with me several times and addressed all of my concerns. He was always kind and patient. Because of his expertise (he trained with the foremost revision rhinoplasty surgeon in the world), I trusted Dr. Dibelius to perform yet another revision. While there is still swelling (I'm about two weeks out from surgery), the look and function of my nose is already amazing. I literally never expected such a great outcome and am thrilled that I didn't give up. His work is unparalleled - I should know, I've consulted with dozens of surgeons. My only regret is that I didn't discover him sooner.



Anyone who is unhappy with the results of their initial rhinoplasty procedure is  a potential candidate for revision rhinoplasty.  During your revision rhinoplasty consultation, we consider a number of factors, including:

General medical health

Health of the nasal soft tissues

Specific problems with the nose (breathing, aesthetic)

Patient’s goals and expectations

Specific techniques required to correct the problem

Likelihood that the problem can be corrected 

Patient motivation and willingness to undergo additional surgery to get the desired outcome


The revision rhinoplasty procedure is usually performed on an outpatient basis under general anesthesia. The surgery is typically performed using an open technique, allowing for greater visualization of the nasal cavity and improved precision of the operative techniques. 

In cases where reshaping is difficult, a cartilage graft from the nasal septum, ear or rib may be required.  The rib graft is probably the most powerful tool in revision rhinoplasty and Dr. Dibelius is an expert on the use of rib grafts in revision rhinoplasty.  Additional techniques that may be required include fat grafting, which allows for the healing properties of the stem cells and growth factors contained in abdominal fat to lend their restorative powers to the nose if needed.  Finally, Dr. Dibelius utilizes a number of innovative techniques to reduce postoperative infection, as this is suspected to be one of the key reasons for poor healing after an initial rhinoplasty procedure. 

img 2


Our goal for our revision rhinoplasty patients is to restore a natural appearing and functional nose, that looks aesthetically beautiful and breathes well.  While it is important to remember that it is impossible to recreate an old nose or to perfectly replicate someone else’s nose, the results that are possible in a well-performed revision rhinoplasty procedure can really be truly incredible.   If you have questions regarding revision rhinoplasty in NYC, please contact us at (212) 518-1036 and we would be happy to help!


Getting a revision rhinoplasty procedure (nose job) is one of the top ways to enhance your appearance and feel more confident. No matter your reason for needing a revision rhinoplasty, board-certified facial plastic surgeon Dr. Dibelius, can help.

Dr Dibelius Manhattan Rhinoplasty Blog 013
"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. Dibelius 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..."

Request Appointment

(212) 518 - 1036

Email Us

Questions? Ask our office

Get Directions

635 Madison Ave 14th Floor
New York, NY 10022