What is the rate of rhinoplasty revisions needed?

The number quoted in our literature is more like 10%, meaning one in 10 patients ends up getting a revision rhinoplasty. This number is obviously very surgeon dependent. I am wondering why you brought up the American Board of Plastic Surgery? I do a fair number of revision rhinoplasties in my state and they all come from doctors who are board certified Plastic Surgeons. That is because most of the rhinoplasties around here are done by Plastic Surgeons.
I happen to be board certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology. I bring this up not to start a battle but to illustrate that board certification is no guarantee of quality. Training exposure during residency and fellowship varies with each institution and program. I know great rhinoplasty surgeons who are board certified by the Board of Plastic Surgery, and great surgeons certified by the Board of Facial Plastic Surgery. I also know surgeons who should not be doing rhinoplasties. Even the best surgeon can have less than ideal results at times.
The healing process after a rhinoplasty can be unpredictable even when everything was done correctly during the surgery. This is a tricky area for the patient seeking a rhinoplasty, ask questions, check reputations, look at before and after photos.... good luck and I hope this helps.

Revision rhinoplasty rates are documented at around 10 % give or take. There are multiple reasons for revision surgery. Many patients undergo revision surgery because of breathing difficulty post operatively or for aesthetic reasons such as inadequate dorsal hump resection or over resection of the dorsum causing an inverted V deformity. Rhinoplasty is a surgery of millimeters and therefore the room for error is zero. I agree that it is important to see only board certified plastic surgeons or facial plastic surgeons in order to have proper treatment. However even in the most experienced and qualified hands there are patients who will need revision.

The physicians who publish these rates are actually the doctors who are doing the most surgery, which is why they are publishing on rhinoplasty. Most are usually minor changes and not patients who need entire re-dos.
For a quality result you should trust a physician boarded by the American Board of Facial Plastic Surgery or the American Board of Plastic Surgery. However many physicians who are board certified don't do many rhinoplasties. So, board certification isn't the only issue, you should ask what percentage of your doctor's practice is devoted to rhinoplasty and how many they do per year.