Before and After Gallery
Disclaimer: The outcomes shown are only relevant for these patients and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
Revision Rhinoplasty, often referred to as Secondary Rhinoplasty is a surgical procedure performed to correct or change the results of a previous Rhinoplasty surgery. It is typically more complex than Primary (initial) Rhinoplasty due to the alterations made during the initial surgery and the presence of scar tissue
If you are dissatisfied with the outcome of your initial Rhinoplasty or experience ongoing concerns such as a asymmetrical nose, size issues, or persistent breathing difficulties, you may need Revision Rhinoplasty.
Download the 2023 Rhinoplasty Surgery Guide
This complete guide to Nose Surgery covers everything you need to know about this procedure, including:
- Your surgery explained
- How to assess if you are a suitable candidate.
- Planning for your surgery
- Answers to most frequently asked questions.
- Before and after gallery
- Learn more on Rhinoplasty
Am I a Suitable Candidate for Revision Rhinoplasty?
Generally a suitable candidate for Revision Rhinoplasty surgery is someone who has;
- Had a previous Rhinoplasty for cosmetic or functional reasons
- Unsatisfactory results from the initial Rhinoplasty from an aesthetic point of view
- Unsatisfactory results from a functional outcome; breathing difficulties, congestion, nasal collapse
- Had the initial Rhinoplasty at least one year prior to considering revision.
- Overall good health with no medical concerns that could increase the risks associated with surgery
- The ability to commit to postoperative care provided by their surgeon in order to achieve optimal result
What are the Reasons for Revision Rhinoplasty Surgery?
Some of the reasons people are choosing to do a Revision Rhinoplasty Surgery include;
Correction of Unsatisfactory Results
One of the primary reasons for Revision Rhinoplasty is to correct the aesthetic concerns or issues that were not adequately addressed in the initial Rhinoplasty. This may include asymmetry, irregularities, or an undesired appearance of the nose.
Revision Rhinoplasty can change the overall appearance of the nose, making it more symmetrical. It may address concerns about the size, shape, or proportions of the nose.
Restoration of Function
For individuals who experience functional issues after the initial Rhinoplasty, such as breathing difficulties, nasal congestion, or collapse, Revision Rhinoplasty may restore proper nasal function and improve airflow.
Correction of Structural Problems
Revision Rhinoplasty can address structural issues that may have arisen as a result of the primary Rhinoplasty. This includes problems like a collapsed nasal bridge or weakened nasal support structures.
What Can I Expect During Surgery?
Although every surgery is tailored to the patients needs, the steps are generally as follows;
On the day of surgery, the patient is typically placed under general anesthesia. The choice of anesthesia depends on the complexity of the procedure and the patient’s comfort.
The surgeon makes incisions based on the surgical plan and the specific goals of the revision. These incisions may be similar to those used in the primary Rhinoplasty, including internal (closed) or external (open) incisions.
Correction of Aesthetic Concerns
If the revision is primarily for cosmetic reasons, the surgeon addresses the aesthetic concerns by reshaping and refining the nasal structures. This may involve adjusting the nasal bridge, tip, nostrils, or overall proportions to achieve a more pleasing appearance.
If the revision aims to correct functional issues, the surgeon focuses on improving nasal airflow and addressing structural problems that may have resulted from the initial Rhinoplasty. This can include the reconstruction of nasal support structures or the correction of a deviated septum.
Management of Scar Tissue
Scar tissue from the previous surgery is carefully managed during Revision Rhinoplasty. The surgeon may need to remove, reshape, or reposition scar tissue to achieve the desired outcome.
Suturing and Closure
After making the necessary adjustments, the surgeon sutures the incisions with dissolvable or removable sutures. If external incisions were made (Open Rhinoplasty), they are closed with fine sutures.
Dressings and Splints
Nasal splints or dressings are typically placed to support the new nasal shape and minimise swelling. Internal nasal splints or packing may also be used to maintain the shape and prevent bleeding.
Recovery and Follow-up Appointments
After surgery, the patient is closely monitored during the initial recovery period. The patient will receive postoperative care instructions, including pain management and care of the surgical site. Follow-up appointments with the surgeon are scheduled to monitor healing and assess the results.
Revisional Rhinoplasty requires a high level of expertise and skill because of the complexity of the surgery. Patients should choose a fully qualified Plastic Surgeon with experience in Revision Rhinoplasty to ensure the best possible outcome. Open communication between the patient and surgeon is crucial throughout the process to address concerns and achieve the desired results.
Risks and Complications
Like all invasive surgery Revisional Rhinoplasty has several risks and potential complications. These can include but are not limited to:
- Anaesthesia complications
- Over or under correction
- Change in sensation
- Nasal obstruction
- Unsatisfactory results
- Scar tissue management
- Revision surgery
All surgery has risks – for detailed information about the risks and potential complications of Revision Rhinoplasty surgery visit the risks of surgery page.
It is essential to have a thorough discussion with your surgeon to weigh up the results and risks of having additional surgeries and to ensure that the desired outcome is achieved while prioritising the long term health and stability of the nose.
Recovery from Revision Rhinoplasty Surgery
The length of your recovery period after nose surgery will depend on your anatomy and general health as well as the specifics of your procedure. Recovery processes and healing time frames can also vary significantly from person to person. Your lifestyle and choices after surgery can impact your healing and results. It is vital that you do not smoke.
Generally you should allow at least 4-6 weeks for initial recovery following your surgery. Scars can take time to fully mature, sometimes up to a year or more. Swelling may take longer to fully dissapate.
You need to be willing to follow the specific instructions given to you by your Surgeon and attend all post-operative consultations. Be sure you wear the surgery tapes & splint as instructed and take advantage of the recovery products provided to assist you during your healing & recovery.
You will need to work with your Surgeon to allow for adequate and proper healing time. It is important to consult with your Surgeon before returning to daily activities such as driving, lifting and exercising.
How Much is Revision Rhinoplasty Surgery
All Surgery is customised and your Surgeon will give you a quote for surgery depending on the type of procedure you are having, the hospital you attend and the length of your stay. The quote will include the Surgeon’s fee, Anaesthetist fee, Surgical Assistant fee and hospital fee.
It is important to note that Revision Rhinoplasty is generally more complex and intricate than Primary Rhinoplasty as it involves working with existing scar tissue and reshaping delicate structures that have already been altered. As a result the cost of Revision Rhinoplasty is often higher than that of the initial procedure.
We also provide information on Private Health Insurance, different methods of payment and information about Revision Rhinoplasty Payment Plan.
Dr Stephen Kleid – Ear Nose and Throat Surgeon
MBBS – Bachelor of Medicine/Bachelor of Surgery and Bachelor of Medicine
FRACS – Fellow of the Royal Australasian College of Surgeons
Dr Stephen Kleid is an experienced Ear, Nose and Throat (ENT) Surgeon (Otolaryngologist) based in Melbourne with a passion for Rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
If you want to find out more about a procedure book a consultation.
Why Choose Coco Ruby Clinic?
It is important to research a Surgeon’s qualifications and experience before deciding on the Surgeon. You can check your surgeon’s credentials at AHPRA (Australian Health Practitioner Regulation Agency).
Choosing a Specialist Plastic Surgeon means you are choosing an accredited recognised plastic surgeon that performs surgery in an accredited hospital. Look for members of FRACS (Fellow of the Royal Australasian College of Surgeons), ASPS (Australian Society of Plastic Surgeons), ASAPS (Australian Society of Aesthetic Plastic Surgeons) or ISAPS International Society of Aesthetic Plastic Surgeons) as some of the qualifications of your Plastic Surgeon.
About Dr Stephen Kleid
Dr Stephen Kleid is a highly experienced, fully qualified specialist ENT (Ear, Nose and Throat) Surgeon (Otolaryngologist) with current FRACS (Fellow of the Royal Australasian College of Surgeons) membership. He is dedicated to patient care and education for revision nose reshaping surgery for each and every patient to best meet their needs and desired surgical outcomes.
How to Book your Initial Consultation
- Email us below or Call on (03) 8849 1400 to arrange your consultation appointment with Dr Stephen Kleid, OR
- A Referral from your General Practitioner (GP) or from your Medical Specialist is required (as of 1st July 2023).
- A Nose Consultation & Nasal Examination with Dr Stephen Kleid is $600 (and may be eligible for a $170 Medicare rebate)
Want more information before scheduling your Surgeon consultation?
- Request more information – DOWNLOAD A GUIDE about having surgery or contact us
- Book a Complimentary Consultation with a Nurse.
- Attend our Regular Practice FREE Events and hear from our Plastic Surgeons along with their top support team.
- Speak with a past patient that has had the procedure you want – call or contact us
- Browse our Frequently Asked Questions including how to choose a Surgeon for your procedure
What to Bring to your Surgeon Consultation
- You are welcome to bring a friend or relative to help discuss the information and your choices
- Take lots of notes and read the documents provided thoroughly