How often does Rhinoplasty go wrong?

I do agree that rhinoplasty is a
surgical procedure with a long learning curve, and many excellent surgeons do
not have extensive experience in rhinoplasty, which is very different than most
other cosmetic procedures. In an experienced and skilled surgeon's hands,
though, the chances of an operation going "wrong" with a result very
different than you expected should be very, very low. That being said, the
healing process involves multiple structures, and even in the most skilled
hands, a revision rate of about 10% should be expected, but these revisions
should be considered as refinements and not major makeovers. Your choice of
surgeon is extremely important. Review surgeons' credentials, experience, and
pre-op and post-op results to make sure your aesthetic matches that of your
surgeon, and be sure your surgeon can carefully listen to you and individualize
your result. Good luck in your search.

     I would say rarely.  In fact, I have not seen a nose that was not substantially better after a rhinoplasty that I have performed.  Sometimes patients cannot be satisfied despite maximal improvement.Kenneth Hughes, MDLos Angeles, CA

Rhinoplasty is a challenging operation.  The best way to avoid " going wrong " is to not make the nose do something is was not meant to do.  That means making changes that make sense with a high likelihood of success and to have realistic expectations.