Revision Rhinoplasty Specialist ~ Best in the US?

I'm interested in a third revision rhinoplasty. Can someone recommend the best rhinplasty revision surgeons in the U.S? I need a doctor who is good at fixing crooked noses.

Doctor Answers (15)

Revision Rhinoplasty Requires a Revision Rhinoplasty Specialist

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Rhinoplasty is often considered the most difficult procedure in plastic surgery. While most facial plastic surgeons and plastic surgeons are trained to do rhinoplasty, many have discontinued performing rhinoplasty in their practices because of the difficulty in attaining consistent results. Revision rhinoplasty is even more challenging and even fewer surgeons routinely perform significant numbers of revision rhinoplasty.

For success in revision rhinoplasty, it is imperative that patients find a revision rhinoplasty specialist who has the experience to correct both the functional and cosmetic deformities resulting from previous nasal surgery. Meet with more than one or two rhinoplasty specialists to get a better understanding of what surgery would involve and how they would correct it.

Dallas Facial Plastic Surgeon
5.0 out of 5 stars 104 reviews

revision rhinoplasty for crooked nose

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  The crooked nose is best addressed with a combination of medial and lateral osteotomies to straighten the nasal bones. A cartilaginous spreader graft is sometimes inserted underneath the concave upper lateral cartilage in the mid vault area. There are 100's if not thousands of experienced rhinoplasty surgeons in United States. Look for a rhinoplasty surgeon who has dedicated in significant component of their surgical practice to the discipline of rhinoplasty, has excellent before and after pictures, rating  and reviews, and is board-certified in facial plastic surgery or plastic surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

How to find a Revision Rhinoplasty specialist

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I have performed Rhinoplasty and Revision Rhinoplasty for over 20 years and IMHO here are the steps that you might consider taking at this time for what would be the 4th Rhinoplasty:

  1. Find the most experienced Rhinoplasty surgeons near you
  2. Have in person consultations for evaluation and recommendations....there's no substitute, at this point, for an in person nasal examination to determine the status of the nasal structure, skin and blood supply that will influence what is capable during the next Rhinoplasty.
  3. Chasing asymmetry, crooked or otherwise, as the sole purpose of continued Rhinoplasty is often ill advised and IMHO can lead to disaterous scarring, skin slough and structure support to the nose.


Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Best revision rhinoplasty specialist

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This is a complex question, because there are many things to consider when searching for a surgeon for your revision rhinoplasty. You should definitely find someone who is a rhinoplasty specialist and who emphasizes rhinoplasty in their practice. Find a surgeon with experience and extensive training in revision rhinoplasty. And finally, you must consider the surgeon's aesthetic preferences. This can be difficult, but it is imperative that you and your surgeon agree on what 'type' of nose you prefer. I cannot stress this enough. And finally, make sure that the surgeon addresses both cosmetic and functional concerns. Far too often, surgeons will change the appearance of the nose at the expense of the nasal airway. Good luck with you search.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Best revision rhinoplasty surgeon

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Finding a surgeon is like finding a mate. There are a lot of options, and you have to find someone who works for you.

There are certain objective questions to ask. How many revisions do they do? How many rhinoplasties do they do? Do they have pictures? Do they have references that you can talk to?

Now you need to also find a surgeon who is thorough, complete, and talks to you. You should be able to have candid conversations with your surgeon and have a feeling that you mesh with and trust your surgeon.

I recently operated on a patient that had had 4 prior rhinoplasties. We actually did 7 consultations before we went to the operating room. This allowed both of to be completely comfortable with each other. It also allowed me to completely understand all of her expectations. Now, we are both satisfied with the results!

Raghu Athre, MD
Houston Facial Plastic Surgeon
4.5 out of 5 stars 43 reviews

The better question is: how do I find the best surgeon for me?

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I agree with Dr. Galitz-  almost any experienced facial plastic surgeon will tell you that revision rhinoplasty is one of the most challenging aesthetic surgical procedures, so you want to find a surgeon experienced in these procedures.
You can do your homework by visiting different doctor's websites, seeing before and after photos, and speaking with or meeting with your prospective surgeon.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.5 out of 5 stars 57 reviews

Rhinoplasty revision specialist

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This is an easy question to answer,.......First then surgeon must be a rhinoplasty specialist........Second he\she must have extensive experience in revision rhinoplasty work and lots of pictures of results. Many excellent rhinoplasty surgeons by preference don't do revision work, so the number of experienced rhinoplasty surgeons with revision experience(extensive) is minimal; but thats who you need to find.

Revision rhinoplasty

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Revision rhinoplasty can be difficult, but ther is no one best rhinoplasty surgeon. A surgeon that does a lot of rhinoplasty  will see his fair share of revisions.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Best Revision Rhinoplasty / Nosejob surgeon in the country

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The answer to this question varies somewhat depending on aesthetic preference.  Revision rhinoplasty is quite a complex surgery especially if it's a second or third revision. Unless it's a very minor defect I would be hesitant to go to a surgeon who doesn't specialize in nasal surgery. In all major states, you will find several qualified surgeons, but not dozens. 

The only thing you can trust other than a great reputation is seeing the before and after photos of revision cases, especially difficult ones which look unnatural turning out to look more natural and pleasant. My personal favorite on the east coast is Steven Pearlman in NYC. 

Ben Talei, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.