How Much Does Revision Rhinoplasty Cost?

Simply because a rhinoplasty surgery is a "revision" doesn't necessarily mean that it would be a difficult surgery or that it should cost more than a primary rhinoplasty. With the fairly minor changes you are looking for, it sounds like pretty much any experienced rhinoplasty surgeon could handle it and you could expect to have a good result for relatively little cost. Often, surgeons will take advantage of the frustration and fear that a revision rhinoplasty patient has -- and their need to be assured that "this is the last time" that they will ever have have surgery on their nose -- and will charge an exorbitant fee for a relatively simple revision. Actually, the most common reason for revision is because the initial relatively inexperienced surgeon didn't compensate for the effect of gravity following their rhinoplasty by taking enough cartilage down just above the tip of the nose. This common mistake creates what's called a "polybeak", where this area looks fuller or more swollen than ideal. However, this is an incredibly easy fix for the experienced rhinoplasty surgeon, since all he/she has to do is expose this small area of cartilage above the tip and trim usually 2 or 3 millimeters of and be done with it. I personally would not charge more than $3000 for such a surgery (as it still requires more technical skill than usual to work through the scar and the judgement to know exactly how much to remove). Your situation also may just require a little trim of this and that and therefore shouldn't cost much more.

Hello and thank you for your question. The cost of revision Rhinoplasty varies based on geographic location and surgeon expertise. The total cost of revision rhinoplasty in my practice starts at $27k (all fees included). If you have breathing problems with documented nostril collapse and a deviated septum, then insurance can sometimes cover a portion of the cost. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

 Prices vary from Region to Region, experience of a Surgeon, extent of work and if or not cartilage grafting is involved, etc. It's a customized process that requires in person exam, or at least a preliminary evaluation based on photos, reading the op-report etc.

It would be cheaper to go back to your original surgeon--assuming he is capable of performing a revision surgery which is usually more difficult than the original surgery. I revise my patients for free with a small facility and anesthesia fee if needed. Without seeing your pictures or examining you in person, I can't quote an exact price. But depending on the degree of difficulty I would probably charge somewhere between $4000 to $10,000 for a revision. From what you describe, it sounds like a minor revision, but nothing is ever simple with a rhinoplasty.

Revision rhinoplasty is just a general term that could be applied to variety of surgeries with different complexities and skill demand. Sometimes just a small maneuver is all that is needed to deliver the goal, versus other times a whole lengthy reconstructive surgery with multiple grafts such as rib or ear cartilage will be in order. In general, revisions are roughly around 1.5 times more expensive than primary nose jobs, as they demand more skills, and time. In US, the price range could vary from 8-10K in less expensive geographic areas up to 30K in more popular practices and cities. Unfortunately, there is no good correlation between the price and skill set as many other factors can play a role, thus due diligence on researching the credentials and a solid photo gallery is key in finding the best fit for you.

Thank you for your question. The cost of rhinoplasty is a factor of surgical time and difficulty. Surgery cost varies based on surgeons level of expertise, , the need for cartilage grafting,surgical facility and the geographic location.In general , revision rhinoplasty usually cost more than in primary cases.

Revision rhinoplasty is more complex, takes more time and requires more rhinoplasty expertise than primary rhinoplasty and therefore is more expensive. If revision rhinoplasty is performed by the original surgeon the cost may be less, since he/ she is already familiar with the patient and the work that was done during the original nose job. Revision rhinoplasty may require harvesting material from sources other than the nose, such as the ear cartilage or rib cartilage. The only way to determine the cost of a revision rhinoplasty is to have a consultation where the extent of the work needed can be determined and a rhinoplasty cost estimate provided. It will be helpful to the surgeon if you can provide previous operative notes and photos, either prior to or at the time of consultation.
Good luck,
Dr. Kaniff

This is a hard question to answer without a good exam. 

The cost can vary from 8K to 20K. 

The reason of the large variation is the complicated fashion a revision rhinoplasty needs to be approached.

The extreme is when the nose is very deformed and requires cartilage harvest from the ear or the rib with total rebuilding. It does sound like the changes you want are minor but whenever the nose has been manipulated prior it does make.

Hope this helps.

DrC

Revision rhinoplasty is a potentially complex surgery based on what you have had done in the past, and what you are looking to achieve.  The difficulty from revision surgery comes from the increased density of tissue, possible scar in the area, and rearrangement of cartilage that may have occurred with your primary rhinoplasty.  Sometimes cartilage may have to be harvested and this adds time to the procedure.  Consult a board certified plastic surgeon in your area to get an estimate based on your particular needs.  

Revision rhinoplasty should only be performed if the problem you are perceiving is significant enough to warrant surgery and if your surgeon feels they can match those goals. Revision rhinoplasty has the risk of making things worse and it is for this reason that minor imperfections are best left alone. These minor imperfections can often make a rhinoplasty results look even more natural i.e. leaving a small bump on the bridge of the nose.If you are truly unhappy with your original rhinoplasty, there are many variables that are factored into the cost of your revision. 1. Who is performing the surgery? Most rhinoplasty surgeons who are revising their own surgeries will usually waive the surgical component of the surgery and charge the patient only the facility and anesthesia fee. 2. The extend of the revision? Minor revisions to the bridge of the nose often cost less (around 5 to $ 6,000) than the typical revision patients I see who have what collapsed nasal bridges, retracted/notched nostrils, and cartilage knuckles protruding from their tip all due to an over aggressive rhinoplasty. These patients need complete reconstruction of their noses with replacement of over resected cartilage and bone with grafting materials from their septum, ears, fascia and even rib. These cases can take up to 6 hours to perform and can cost over $ 10,000. The more times a corrective rhinoplasty is attempted the more difficult and costly it becomes to fix it properly.Don't base your selection of a rhinoplasty surgeon solely on price. Look at their experience, rhinplasty specialization, reviews, photos, and it helps if they have an academic position where they teach rhinoplasty.Good luck in your search