Are rhinoplasty revisions really that common? Are they more because of botched results or finding small flaws?

The literature notes revision rates for rhinoplasty generally range from 5-15%, which is understandable since rhinoplasty is one of the most challenging surgeries to perform. Historically, many rhinoplasties were done using a technique called reduction rhinoplasty, where tissue is removed to make the nose smaller. While this could create an aesthetically pleasing result at first, over time—typically 5 to 10 years later—many patients ended up needing revisions. This was often because the reduction left the nose without enough structural support, leading not only to changes in the appearance but also to breathing issues. It’s essential to ensure the nose not only looks good but functions properly, allowing you to breathe well. Newer techniques offer more predictable results and also prioritize maintaining the function of the nose.
In my own practice, though rare, one of the most common reasons I need to revise my work is when the bridge of the nose is left just 1 or 2 millimeters too high, creating a slight bump. This happens because, during surgery, there’s a point where you must decide whether to keep removing tissue or stop. Swelling or blood can make it difficult to see clearly, and on the operating table, the bump may appear completely smooth. In these situations, I prefer to play it safe and stop, because it’s much easier to remove a bit more during a revision than to try to rebuild if too much is taken off initially.
That being said, if the patient is satisfied, the surgeon should be as well. Surgeons shouldn’t pursue revisions based on minor imperfections they personally notice. Our ultimate goal is to help patients achieve the results they desire.
Best, Dr. Chouake

Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, that's why it's imperative to seek out a rhinoplasty specialist for best results. Even in the best of hands, there's a 10 to 15% touchup rate for minor little flaws that crop up at 6 to 10 months after the procedure. We consider those touchup procedures. When getting an improperly performed rhinoplasty, then yes, a full revision rhinoplasty will be necessary.