How Long Should I Wait Before I Get Another Rhinoplasty?

In general, one must wait at least a year
after the first rhinoplasty for revisional surgery to allow for normal wound
healing. It is optimal to have your secondary surgery performed by a
rhinoplasty expert, one who has Experience, Expertise, and has delivered Exceptional
results in rhinoplasty. This is the most complicated, difficult operation in
cosmetic surgery.

One year is an adequate time to wait before undergoing revision rhinoplasty.  More important question is how to proceed.  As you probably have learned by now revision rhinoplasty is one of the more difficult procedures for a surgeon to master. The goals is to create a beautiful nose with nice proportions that fits that particular face. In my practice we offer computer imaging to our prospective rhinoplasty patients, so that the goals and aspirations of the patients can be communicated. Of course not all surgeons that can created changes on the computer can produce those changes in the operating room. Pick you rhinoplasty surgeon carefully.

You might find it insightful to read my article "The Art of Sculpting the Nose" which can be found on my web site under "publications".
 

You need to wait one full year before having a revision rhinoplasty.  This is the amount of time necessary for the scar tissue to become soft and malleable again so that any changes made during surgery will give a predictable result.

It sounds like you have waited long enough, so now you just have to decide who to see.  I know it is tempting to try to save money by traveling out of the country to have surgery performed, but if you have a complication which requires immediate attention after returning home (like an infection) then what do you do.  You do not need to see the same surgeon, but be aware that each successive revision rhinoplasty becomes harder and harder to perform and get right.  You really want to make sure you are confident in your surgeon's expertise this time.

One year is long enough to have a revision rhinoplasty. Make sure you see an experienced revision rhinoplasty surgeon.

One year is generally adequate time before a revision rhinoplasty. It would be best if you can get your surgical records including operating report from the first surgery to help the revision surgeon understand the techniques utlized by the first surgeon. Consult with 3 - 4 experienced and expert surgeons to understand your options.

It is acceptable to undergo a revision rhinoplasty one year after your surgery. This is the time it takes for full healing and allows your surgeon to assess how best to revise your nose.    

I'm confused by your posting? Did you want the same surgeon in Peru or "your" surgeon in the USA (who is sick) to revise your rhinoplasty? I guess the easy answer is to see a boarded plastic surgeon in person to examine you and than determine the exact issues and plan the second rhinoplasty as per the issues. Most likely you will have to wait a year from the date of the first rhinoplasty, but there are ALWAYS exceptions in doing within the first 6 months postop. From MIAMI Dr. B

I agree with the other opinion -- get an experienced rhinoplastic surgeon to do a re do. Don't get a beginner.

It would be nice to have the operative report from Peru to review.  You made reference to complications but more detailed information would be preferable.  Typically one year is adequate to assess the nose and suggest a plan for a secondary rhinoplasty.

Wishing you the best,

Tal Raine MD

You have waited long enough (1 year) to have a revision rhinoplasty. There is nothing wrong with seeing a different surgeon; I do a lot of revision surgery on patients who had their rhnoplasties before coming to my office.