How Do the Procedures Differ Between Revision Rhinoplasty to Correct Asymmetrical Nostrils and the Primary Rhinoplasty?

Will a revision rhinoplasty surgery take about as long as the original rhinoplasty. Are there situations where a revision might take longer? Why?

Doctor Answers 3

Difference between primary and revision rhinoplasty

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Revision rhinoplasty is always longer due to the complications that can occur and additional cartilage grafting from the ear or nose that may be required.  Unlike primary rhinoplasty, revision rhinoplasty must deal with scar tissue, which adds another degree of complexity and unpredictability to the healing process.  However, in experienced hands surgery usually turns out quite well.  

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Revision Rhinoplasty

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The main difference between primary rhinoplasty and revision rhinoplasty is the need for creativity.  Primary rhinoplasty involves a following a careful plan as determined by your rhinoplastic surgeon to achieve your goals. Having done this for over 25 years, there are certain patterns that are followed for each type of untouched nose.  With a revision rhinoplasty, there is a need for reconstructive techniques along with cosmetic enhancements.  Combining the two requires more experience and creativity regardless if it is a simple single site adjustment or a total redo.  

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Differing procedures in revision rhinoplasty

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There are many causes for revision in rhinoplasty, from minor irregular areas on the bridge to major changes in the tip and tip support. Generally surgeons feel that rhinoplasty revision takes more experience, and time, as the tissues may be scared, or cartilage grafts might be needed to restore support or define shape. Of course if the fix is small such as raising the columella slightly, adjusting the nostril size or symmetry your recovery can be quicker.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.