Question: I would like to get a poor nose job repaired. Is the procedure for this the same as if you were getting a nose job for the first time? Are there any harmful side effects from getting a second rhinoplasty?
Answer: Revision rhinoplasty is completely different from a primary rhinoplasty. The goal is to understand what was done in the first nose job and how to improve this. It is also important to realize that sometimes you cannot determine exactly what was done in the previous case until you’ve actually opened up the nose and looked inside the nose to see what was done. I tell all my patients that the rhinoplasty is a law of diminishing returns in a sense that the more rhinoplasty procedures you have, the less likely it is that any subsequent procedures are going to have a major effect in improving the nose. The complication rate may be increased with the second procedure due to more scarring, longer surgical time and possible problems with healing. Fortunately, however, these problems are usually very minimal. For most patients, a second rhinoplasty procedure is tolerated quite well.