It’s important to realize that the nose undergoes significant change in the first year following rhinoplasty surgery. These changes are related to swelling, inflammation, and the would healing process. Once these change have occurred the appearance of the nose should be more or less stable with the exception of changes associated with normal aging. For this reason, revisional maintenance rhinoplasty surgery isn’t indicated. Occasionally, patients may not be totally happy with the result of their rhinoplasty. Under these circumstances, secondary revisional rhinoplasty may be indicated. For these reasons, it’s important to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your concerns and minimizes the potential for secondary surgery.