What is the rate of rhinoplasty revisions needed?

First of all, going to a surgeon certified by the American Board of Plastic Surgery has absolutely nothing to do with revision rates and is no guarantee at all for success.
The three types of Rhinoplasty surgeons are:
1) Plastic Surgeons
2) Facial Plastic Surgeons
3) ENT surgeons
All of the above surgeons, theoretically and by training and certification, should be able to do a good Rhinoplasty. However, there are always good and bad surgeons. And there are always surgeons who specialize more in one surgery or another. For example, just because a surgeon is known for doing amazing tummy tucks, it does not automatically mean he is even decent at Rhinoplasty, and so on.
Then are are other issues:
1) No one can control how your nose heals. You heal the way you heal and so a minor revision may be necessary
2) patient expectations are important. Some patients are just never happy no matter what and they get stuck in a "revolving door" of revision rhinoplasties
3) incomplete pre op communication may be an issue where your surgeon gave you a great nose but you just wanted something different and either you did not get that desire across to him pre-op or he just did not listen to you.
4) And again I have to mention healing variations because this is a major factor in needs for revision but lets be clear that a nose job that is not done properly (like the late Michael Jackson's) is not an issue of healing but that was an issue of poor surgical technique and judgement, etc.
With all this said, minor revision rates, in good Rhinoplasty Specialists practices can be around 5-15%. Some other surgeons may have revision rates as high as 30% or more.
Hope this helped.

Revision rhinoplasty rates are documented at around 10 % give or take. There are multiple reasons for revision surgery. Many patients undergo revision surgery because of breathing difficulty post operatively or for aesthetic reasons such as inadequate dorsal hump resection or over resection of the dorsum causing an inverted V deformity. Rhinoplasty is a surgery of millimeters and therefore the room for error is zero. I agree that it is important to see only board certified plastic surgeons or facial plastic surgeons in order to have proper treatment. However even in the most experienced and qualified hands there are patients who will need revision.

The physicians who publish these rates are actually the doctors who are doing the most surgery, which is why they are publishing on rhinoplasty. Most are usually minor changes and not patients who need entire re-dos.
For a quality result you should trust a physician boarded by the American Board of Facial Plastic Surgery or the American Board of Plastic Surgery. However many physicians who are board certified don't do many rhinoplasties. So, board certification isn't the only issue, you should ask what percentage of your doctor's practice is devoted to rhinoplasty and how many they do per year.