Is revision rhinoplasty always harder?

 A revision rhinoplasty is always harder than a primary rhinoplasty so it takes longer to perform the procedure. Because it takes longer amount of time in the operating room, anesthesia and for  the surgical  procedure, the  revision rhinoplasty surgical fees are higher than a primary rhinoplasty. Shop quality, not price, since the nose is the most prominent feature on your face and experience really does matter.

Dear MichaelV,Since you did not include a photo, it is difficult to give you a specific opinion.  In general, revision rhinoplasty is harder because when there had been a prior trauma (either a planned surgery or an accident), there is disruption of the normal anatomy and scar tissues form where normal separation planes existed previously.)  What may seem like a small thing to you as a layperson, may be technically difficult to achieve, or may result in other structural or functional problems.  It is best to have a consultation in person.  And, then, trust your gut.  You will know when you find the right surgeon.All the best,Dr. Michelle Yagoda

Hi there and thanks for you question.I assume the rasping was done via a closed approach. Whilst I certainly agree that in most cases a revision procedure is more difficult, if that is all that was done, I don't think it should have too much impact on further surgery.It is unusual to reduce a hump and not require an osteotomy or other procedures to your nose, so not entirely surprising that your found the results underwhelming.Most rhinoplasty surgery done today is done via an open approach.As to costs, I don't think your previous surgery will impact on the surgical fee, it would not in our practice,  however this is obviously up to each individual surgeons practice.CheersRichard