Why Can't I Get a Revision Rhinoplasty Sooner?

All i want done is my nose to be filed down more and my tip to be added onto just a little. Dont worry about the filing down to low thing because there is aloooot of room available for it to be brought down. But i want to no whats the harm in getting it too soon. all the swellings pretty much done with from what hes saying and whats left wont be drastic anyways. Im sick of living in misery and just want to no whats can go wrong from it being to soon?

Doctor Answers 10

Time for rhino revision

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Unless things are really obvious, you should wait a year.  That is the time that it takes for the skin to lose it's swelling, and for it to redrape over the altered bone and cartilage framework.  Reoperating before this time is inviting uncertainty that you can avoid with patience. 

The best results are those with proportion and harmony between the tip and bridge.  If you want a result that gives you the best opportunity to make you happy for the rest of your life, wait for the year.  You can consult with the rhinoplasty surgeon prior to that, but surgery should be in a year.

Madison Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Timing for revision

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In general it is a good idea to wait about one year before seeking a revision.  There are a number of good reasons for this which your surgeon can discuss with you.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Timing of Revision Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If revision surgery is done too soon, the surgeon may actually make the final result worse, despite the apparent immediate gratification. If the changes won't be "drastic", life with the present nose should not cause too much "misery" in the interim. Responding surgeons are looking out for your best interests.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty, revision rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Certainly everyone is providing the standard time frame.  Ifif in the early post op period there is something that is completely wrong then I will correct it.  forunately I have not had this particular issue.  Can elaborate on what was done on the inside?  Were grafts used?  Were the nasal bones moved.

Revision Rhinoplasty: Wait a Year

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The standard answer for timing of revision Rhinoplasty is at least a year.  This is not an arbitrary time frame, but based on knowledge of how the nose heals.  Rhinoplasty often requires tailoring or adding to  a cartilaginous and bone framework, leading to clinically significant postoperative swelling.  In order to perform a revision procedure, it is best for the Surgeon to know exactly what he is dealing with.  Waiting a year allows the Surgeon to understand the result that has developed, and treat it accordingly.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Timing Revision Rhinoplasty - Wait a Year, if Possible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Revision cosmetic surgery can happen with any facial cosmetic procedure, from rhinoplasty to face lift surgery. Revision procedures can vary from minor to major, and can occur at any time following the initial procedure.

For rhinoplasty, plastic surgeons and rhinoplasty specialists generally wait at least one year, or longer, before considering revision surgery. The final shape and position of the nose occurs much later after rhinoplasty. The nose continues to "settle" and is considered a moving target during this initial period of healing. Revision nasal surgery prematurely or too soon may disturb the natural scar tissue, skin, bone, or cartilage healing, so you may end up with a less optimal result. Revision surgery is more successful when the nose has completed a majority of its healing, which is typically one year at its earliest.

Exceptions are always made in specific instances. Minor procedures within the year may be performed in the office to help the nose heal and achieve the desired result.

Only after a comprehensive evaluation by a rhinoplasty surgeon can he/she determine appropriate options for you.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Revision rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Unless there is a major deformity that is functionally effecting the nose or airway - WAIT at least 6 months. Better to wait the full year.

From MIAMI Dr. B

Rhinoplasty revision

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The key to rhinoplasty revision surgery is to perform it when the nose has softened and the swelling has completely dissipated. If done too early, the tissues are too hard and the dissection is too difficult. This could damage the soft tissue and affect the final result especially if the soft tissues can not contour properly.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Noses heal for a full year or more following rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is why we wait at least one year for revision surgery. Not only does the scar tissue soften, but some of the relationships between the nasal cartilages as well as final shape and position may shift over the year of healing. Surgery too soon may disturb the scar tissue. Also, we need to know where the nose will be at the end of healing to make sure all relationships are final before any further changes.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It takes 1-3 years for the nose to heal and the scar tissue to mold and mature after rhinoplasty.  If your surgeon does the revision too soon then he may over correct or under correct it.  Also its harder to raise the skin and there is more bleeding during surgery.  Be patient and do it properly.  If there is a lot of room for revision of the bridge then you should ask yourself if you chose the right surgeon in the first place and if you should use him again the 2nd time. 

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 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.