Fixing a Failed Nose Job: When to Consider Revision Rhinoplasty and What to Expect

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Audubon Facial Plastic Surgery

You've found yourself with a nose job that didn't turn out the way you had hoped. Maybe your nose looks completely different than you planned, doesn't function the way it should, or you just don't feel like yourself anymore. Whatever the reason, you're not alone. Revision rhinoplasty is actually way more common than people think, but before you jump into another surgery, let's talk about when it makes sense to consider a revision, what the process is really like, and what you can expect along the way.

When Should You Consider Revision Rhinoplasty?

First of all, revision rhinoplasty isn't something to rush into. Your nose is still healing for a solid year after surgery, so if you're only a few months out and unhappy with your results, you might need to give it more time. Swelling can take a long time to go down fully, and sometimes, what looks "off" at six months may settle into place by twelve.

That said, it's reasonable to start exploring revision options if you're dealing with persistent issues like breathing problems, noticeable asymmetry, or a result that's completely different than what was discussed with your surgeon. Some of the most common reasons people seek corrective surgery include:

• Cosmetic Concerns: The nose looks uneven, too large, too small, or just not what was expected.
• Breathing Difficulties: If your nose feels blocked or worse than before, there may be structural issues that need correction.
• Overdone or Unnatural Results: If your nose looks overly pinched, scooped, or just not "you," revision can help restore a more natural shape.
• Scar Tissue Complications: Sometimes, excess scar tissue forms inside the nose, affecting both look and function.

The Reality of Revision Rhinoplasty

Revision rhinoplasty technique is often not the same technique that is performed in primary rhinoplasty surgery, and expectations for outcomes should be set accordingly. There's already scar tissue to work around, the skin quality may not be as good, and your surgeon may need to rebuild parts of the nose using cartilage from another area (often the ear or rib) because the cartilage has been previously utilized. Because of this, not every surgeon is experienced in revision cases, so choosing a surgeon well-versed in revision rhinoplasty is crucial to success.

Another thing to keep in mind is that it's not always about achieving "perfection." Revision rhinoplasty is about improvement, as perfection cannot be guaranteed. A good surgeon will be honest with you about what is realistically achievable so you can set expectations accordingly.

How Soon Can You Have a Revision?

You'll likely need to hold off on revision surgery if you're still in the early months post-surgery. Most plastic surgeons advise waiting at least a year before considering revision rhinoplasty because swelling takes a long time to subside entirely and the tissues to settle. Rushing into another procedure too soon can actually make things worse since your nose is still healing.

That said, if you're dealing with serious breathing issues or a structural problem that's affecting your daily life, you can discuss revision options sooner.

What to Expect from the Procedure and Recovery

Revision rhinoplasty is usually performed under general anesthesia and can take longer than a primary rhinoplasty, sometimes up to five or six hours, depending on the complexity. 

Post-surgery, expect a recovery process similar to your first nose job: swelling, bruising, and congestion that slowly improve over several weeks. However, because of the added complexity, swelling may last even longer than the first time around. Most patients see their final results around the 12 to 18-month mark.

As for downtime, you'll need about one to two weeks off from work and should avoid strenuous activities for six weeks. Following post-op care instructions to the letter is crucial - your nose has already been through one surgery, so giving it the best chance to heal properly this time is key.

Choosing the Right Surgeon for a Revision

Since it is a more advanced and delicate procedure, you'll want to seek out a surgeon who has specific experience and expertise in revision rhinoplasty. Not all plastic surgeons are skilled in revision surgeries or do them very often. Look for before-and-after photos of their revision work, read reviews, and don't be afraid to ask tough questions in your consultation.

A good, responsible surgeon will be upfront about what's possible and what's not, have a clear plan to address your concerns, and be experienced in dealing with scar tissue and cartilage grafting. They are there to make you feel comfortable and heard.

Should You Schedule a Revision Rhinoplasty?

Revision rhinoplasty surgery could be the answer if you're frustrated with the outcome of your nose or find yourself struggling with comfort in your daily life because of your initial nose job. Take your time, do your research, and make sure your expectations are realistic. No nose is perfect, but the goal is to have one that looks and functions in a way that makes you feel like the best version of yourself.

When you're ready to get more in-depth, personalized information about revision rhinoplasty, book a consultation with an experienced surgeon specializing in revisions. If you're unsure where to start, Dr. Melancon at Audubon Facial Plastic Surgery is a highly trusted and skilled double board-certified surgeon in the New Orleans, LA, area who specializes specifically in revision rhinoplasty. You deserve to feel good about your results - this time, let's get it right.