Revision RhinoplastyRevision Rhinoplasty: If an Adjustment Is Needed

Revision rhinoplasty is much more common than one might think. Approximately 15%  of primary nose jobs result in a revision. Reasons vary, but the patient may desire the procedure for one or more of the following reasons:

  •  The patient is not happy with the results of the primary rhinoplasty
  • Address a problem that may have developed after the primary surgery
  • The patient’s expectations have changed
  • An inexperienced surgeon performed the primary rhinoplasty

Revision rhinoplasty is a highly specialized procedure, considerably more complicated and difficult than a primary rhinoplasty. In fact, some consider it the most-complicated cosmetic surgery procedure. Scar tissue makes the dissection of the nose more challenging and cartilage can be weak and scarce. Therefore, revision rhinoplasty requires an extremely skilled and experienced surgeon. Farzad R. Nahai, M.D., a board-certified plastic surgeon at The Center for Plastic Surgery at MetroDerm, P.C. in Atlanta, GA, has been performing revision rhinoplasty for over 15 years. He can re-sculpt the nose and make it look as if the primary nose job had never been performed.


  • Artificial or unnatural nasal appearance
  • Asymmetry in the tip, upper third or middle third of the nose
  • Displaced nasal implant or extruding nasal implant
  • Nose is not in balance with the rest of the face
  • Persistent nasal hump
  • Saddle nose or over-reduced bridge
  • Over-rotated or under-rotated tip
  • Crooked tip or crooked nose
  • Breathing problems

About the Procedure

Before performing revision rhinoplasty, Dr. Nahai works with the patient to identify the reason why they are unhappy with the results of the primary rhinoplasty and then sets specific and realistic goals for the revision procedure. It’s also important not to be premature in decisions regarding revision rhinoplasty. Swelling distorts the final results of a nose job; it can take a year to 18 months for the swelling from a primary rhinoplasty to fully dissipate.

In the case of over-correction, there may not be enough cartilage left to properly sculpt the nose. Dr. Nahai may need to graft cartilage from other areas of the body to reconstruct the nose. Common cartilage sources are the ear and ribs. The patient may also have scars and tight skin from the primary rhinoplasty procedure. When these factors come into play, revision rhinoplasty essentially becomes much like a reconstructive surgery.

Revision rhinoplasty is performed with general anesthesia. During revision nose surgery, the aim is to restore both structure and function. The surgery can take longer to perform than a primary rhinoplasty, sometimes taking up to four hours to complete. By contrast, a primary rhinoplasty takes one to two hours.

Every patient is unique; therefore, results of treatment may vary.

Revision rhinoplasty can transform your appearance. Call The Center for Plastic Surgery at MetroDerm, P.C. to schedule an appointment, The Center serves patients around the metro Atlanta, GA area including Dunwoody, Sandy Springs, Roswell, Milton, Alpharetta, Brookhaven, and Buckhead.