Somebody who has had a previous rhinoplasty and is not happy with it, basically, is a very common situation. And, at this point you do have two options. You have the filler option, and you have a secondary rhinoplasty option... since your nose has already been operated on.

The filler option can be valuable in certain situations. For example, somebody who's had the previous rhinoplasty and is not happy with something minor. You know, they have still a little bit of a bump left, or the previous surgery did not improve the shape of their tip to make it a little bit more prominent, or a little bit more pointy. Then a filler rhinoplasty, or a non-surgical rhinoplasty... I use the terms interchangeably, can be very beneficial.

There are limits to what a filler, or a non-surgical rhinoplasty can to do somebody who's already had the rhinoplasty done, because again, the blood supply and the skin has been altered and there is scar tissue there. So it needs to be done by an experienced surgeon who has done this before. It has a certain level of difficulty, more than when you're doing it for someone who's never had it done before.

If you go to the second option, which is a secondary rhinoplasty, basically it's up to the surgeon and the patient to sit down and discuss what is the patient not happy with, you know? And then try to decide whether a secondary rhinoplasty is going to improve their result. And what is their risk that the patient is taking?

So when people come to me to have a secondary rhinoplasty, and we do a lot of them in my practice, we have to assess what is it that the patient is not happy with in their first rhinoplasty. There are some emotional issues involved. There are some trust issues involved, because typically a rhinoplasty procedure requires, you know, a lot of trust in the surgeon. That's in the middle of your face, and it defines your beauty and your identity.

So when they've had it done once and they're not happy with it, then there is a certain amount of trust that you need to gain, you know, for the patient to feel comfortable having their nose done a second time.

A secondary rhinoplasty, technically, may require getting cartilage from the ear to reconstruct the nose. May require a little bit more difficult dissection because it's already been dissected before, and there's scar tissue.

So it requires a higher level of technical expertise on the surgeon's part. And so what I tell my patients, is if you want a secondary rhinoplasty done, you know, it's important for you to understand the qualifications of the surgeon who is gonna be doing it for you.

You know, most importantly, being a board certified plastic surgeon who does this on a frequent basis, and show you, before and after results, and make sure that you like what they have done for other people before you. And make sure that you and them have very specific goals in mind, and how the surgeon's gonna achieve your goals, before going to the operating room. That's the time to discuss it.

Revision Rhinoplasty: What Can Be Done To Fix a Poor Nose Job?

Dr. George Bitar explains the process of a surgical revision rhinoplasty, but for those who are unable to unwilling to submit to a second surgery, he also highlights some non-surgical options to fix a poorly executed nose job.