Unfortunately, rhinoplasty is a procedure that is associated with a fairly high rate of dissatisfaction. There is a high incidence of patients requesting revision surgery. One of the more difficult things to achieve with rhinoplasty is a perfectly straight nose. Nevertheless, with attention to detail and good techniques, skilled rhinoplasty surgeons can achieve a straight look. Oftentimes irregularities as well as indentations following rhinoplasty can correct themselves with time. Revision surgery should not be considered until a patient is a full year out. Sometimes small indentations are due to dermal adhesions and with time and occasionally massage they will resolve themselves. Small irregularities that persist at the one-year point can sometimes be addressed intradermally with filler injections which can be done in the office. For those patients, however, who have more significant deformities, revision rhinoplasty has to be considered. When considering revision rhinoplasty, it is important to go to a surgeon who regularly performs not only rhinoplasty but revision surgery. Revision rhinoplasty presents challenges greater than initial rhinoplasty and should be approached with caution. The first step in planning a revision of rhinoplasty is to consult with a Board Certified facial plastic surgeon who regularly performs nasal surgery.