There are many good rhinoplasty surgeons available in the United States. However, rhinoplasty is considered by many to be the most difficult operation in plastic surgery to perform well. Revision rhinoplasty adds an additional level of complexity beyond primary (first-time) rhinoplasty, so there are fewer surgeons who feel comfortable taking on complex revision rhinoplasty cases. Multiple previous revisions means greater scarring, which can make the surgery more complicated. Rib cartilage is often required in complex revision cases to drastically change the shape of the nose. The straightness and rigidity of rib cartilage is extremely helpful in correcting a crooked/deviated nose.
