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Revision Rhinoplasty

A revision rhinoplasty is a surgery that is performed of the nose after an initial rhinoplasty or primary rhinoplasty procedure has been performed. It is a broad term to describe a situation where the aesthetic goals of the first rhinoplasty surgery may not have been met. All primary rhinoplasty procedures have the potential to ultimately require a revision rhinoplasty, however, the goal for any rhinoplasty surgery is to get it right the first time. Rhinoplasty surgery is one of the most challenging procedures in plastic surgery due to the delicate and intricate anatomy of the nose. We recommend you find a plastic surgeon board certified by the American Board of Plastic Surgery for both primary and revision rhinoplasty surgery. The Plastic Surgery Clinic of Chicago understands that there is no catch-all approach to rhinoplasty; every nose is unique, which is why each patient at our practice receives personalized care, an individualized course of treatment tailored to each patient’s needs.

Revision rhinoplasty can be useful to treat:
  • Persistent asymmetries of the nose
  • Persistent deviation of the nose
  • Original aesthetic goals were not met
  • Perforated septum
Revision Rhinoplasty

Am I a Candidate for Revision Rhinoplasty?

Every time you have a surgery of the nose, the surgery and recovery become more difficult. Therefore, the decision to undergo a revision rhinoplasty should not be taken lightly. If you have moderate to major nasal asymmetries or major aspects of the aesthetic goals of the primary rhinoplasty were not met, then you may be a candidate for a revision rhinoplasty.

Patients who smoke or are otherwise not in good physical health, or who do not have realistic expectations are typically not ideal candidates for a revision rhinoplasty.

What to Expect from a Consultation

Any medical center or practice you choose should be willing to sit down with you and take the time to explain all aspects of the procedure beforehand, including expectations of the surgery and associated risks and recovery. At the Plastic Surgery Clinic of Chicago, we thoroughly review your medical history, speak with you about your expectations, and provide you with an extensive overview of both functional and aesthetic details of revision rhinoplasty surgery. Having realistic expectations is essential in having a good experience and outcome with revision rhinoplasty.

How Revision Rhinoplasty is Performed

First, patients are placed under general anesthesia in order to ensure safety and comfort during the procedure. Next, incisions are made to allow the surgeon access to the nose.

Revision Rhinoplasty is most commonly performed through an open technique for adequate exposure and access of the nasal anatomy. In an open procedure, an incision is made along the columella, the thin bridge of tissue that connects the nostrils.

Surgical maneuvers are then made, which may involve removing cartilage, using sutures to reshape cartilage, bone contouring, or placement of cartilage grafts. In many cases, cartilage grafts have to be used from the rib or ear to rebuild and restore the anatomy of the nose.

Lastly, once the necessary corrections are made, sutures are placed to close the incisions and the nose is bandaged appropriately.

Recovery after Revision Rhinoplasty

Although revision rhinoplasty is an outpatient procedure, patients are required to remain at the surgical facility until anesthesia wears off. It is also necessary to have another adult bring you home after a rhinoplasty procedure.

Recovery on the day of surgery should involve lying in a comfortable position, a lot of rest, liquids, soft foods, and prescribed medications. Immediately after surgery, the nose and the area under the eyes will typically be swollen and bruised. The swelling will go down within a few weeks, however, swelling will last longer than a primary rhinoplasty. Patients should avoid any strenuous physical activity right after surgery, as it can increase the risk of bleeding.

It is very important to follow all instructions issued by the plastic surgeon and to attend follow-up appointments so that your surgeon can check your healing progress and let you know when it is safe to return to regular activity and a normal work schedule.

The results of successful revision rhinoplasty are usually visible around two weeks after surgery; however, since the nose will not be completely healed, the full effects of the procedure will not be visible for several months, until the nose takes its new shape. Swelling of the nose can last up to 2 years after surgery, therefore, patience is needed during the recovery period.

Potential Risks of Revision Rhinoplasty

Patients should be aware that revision rhinoplasty, as with any medical procedure, come with potential risks. Each individual should consider both the benefits and known risks before making the decision to have a revision rhinoplasty. Such risks may include:

  • Skin discoloration
  • Bleeding
  • Infection
  • Scarring
  • Persistent asymmetries
  • Breathing obstructions

Always make sure that the surgeon performing the procedure is board-certified by the American Board of Plastic Surgery, and that the surgery is being carried out in an accredited surgical facility.

What Does Revision Rhinoplasty Cost?

The cost of this type of procedure is going to fluctuate based on location, surgeon, center, and the individual patient’s needs. According to the American Society of Plastic Surgeons, the average cost of rhinoplasty in the U.S. is around $5,000, though it can range up to $15,000.

The Plastic Surgery Clinic of Chicago always provides a detailed breakdown of costs after an initial consultation.

SCHEDULE A CONSULTATION

The Plastic Surgery Clinic of Chicago welcomes any questions from both potential patients and returning patients regarding any of the procedures that we offer. We are committed not only to excellent patient care, but thorough patient education; our professional staff will answer any questions you have and ensure that you understand every step of the process. If you are interested in looking and feeling like the best version of yourself, call us today for a consultation.


All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.

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Midterm follow-up on this lovely #rhinoplasty patient who wanted nasal surgery to improve her nasal breathing but also to improve the aesthetics of the nose. Fixing the crooked nose is a challenge in rhinoplasty and on the bird’s eye view, you can visualize improvement in the dorsal aesthetic lines. Dorsal aesthetic lines are two curvilinear light reflex lines that travel from the inner eyebrow to the tip of the nose on frontal view. On profile view you can see a nice profile with the dorsal hump removed. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #hybridrhinoplasty #septoplasty #crookednose #chicago #chicagoplasticsurgery
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Honored to lead the Midwestern Association of Plastic Surgeons (MAPS) as president for 2021-2022 with this group of esteemed colleagues on the board with me. MAPS is a plastic surgery society that was founded in 1961 to foster the development of plastic surgery in the Midwest region and involves plastic surgeons and plastic surgery programs from the states of Kansas, Indiana, Illinois, Iowa, Minnesota, Michigan, Missouri, Nebraska, and Wisconsin. We are currently planning our annual meeting which will take place in Chicago on May 20-21st. The meeting will have renowned plastic surgeons from all over the United States to share ideas and to advance our specialty forward.

#plasticsurgery #plasticsurgeon #MAPS #cosmeticsurgery #craniofacialsurgery #microsurgery #aestheticsurgery #handsurgery #pediatricsurgery #chicago #chicagoplasticsurgery #burnsurgeryspecialist
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Happy for this mother of 2 who wanted to improve the contour and aesthetics of her abdomen and waist with an #abdominoplasty or #tummy tuck. After children, women can experience rectus diastasis or separation of the abdominal muscles as the uterus expands. During a tummy tuck, plastic surgeons will address this separation by stitching the muscles back together. In the post-operative photos you can visualize the muscles re-positioned more centrally. Additionally, we will perform liposuction, remove excess abdominal skin and re-set the belly button. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #tummytuck #abdominoplasty #rectusdiastasis #chicago #chicagoplasticsurgery
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Asian upper blepharoplasty or “double eyelid surgery” is a variation of an upper eyelid lift or upper blepharoplasty procedure where the upper eyelid crease is raised and more defined. Additionally, the epicanthal fold or skin that covers the inner corner of the eye can be removed depending on the patient’s goals. The goal of this surgery is not to necessarily create an occidental appearing eye but to maintain the patient’s features and create the appearance that the eye is larger and more refreshed. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #blepharoplasty #eyelidlift #asianblepharoplasty #doubleeyelidsurgery #chicago #chicagoplasticsurgery
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Six month follow-up on a natural #otoplasty procedure or #earpinning procedure. Plastic surgeons board certified by the American Board of Plastic Surgery have pioneered the techniques used today for ear pinning surgery. The surgery entails improving the definition of the ears and setting the ears closer to the scalp. The patient reports feeling more confident in the size, shape, and symmetry of his ears in social and work settings. Posted with permission.

#plasticsurgery #plasticsurgeon #otoplasty #earpinning #prominentears #ears #chicago #chicagoplasticsurgery #cosmeticsurgery
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6 month follow up on a #malerhinoplasty patient who wanted his dorsal hump removed, the nose straighter, and the tip less bulbous. The patient underwent a #primaryrhinoplasty where the dorsal hump was removed, the entire nose was straightened, and the tip refined. Pay close attention to the tip of the nose, in male rhinoplasty we try to avoid over rotating the nose or making the tip “upturned”. This maneuver feminizes the nose. Posted with permission.

#rhinoplasty #malerhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #chicago #chicagoplasticsurgery
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This patient is 3 months from a breast augmentation with gel implants. The patient’s goals were to go from an A cup to a D cup but to still look natural. In the post-operative photos you can see that the patient has improved volume, more projection, and a natural result that fits her frame. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #chicago #chicagoplasticsurgery
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Happy for this patient who wanted to look and feel more rested and youthful. The patient underwent a lower facelift and neck lift to improve the aesthetics of the lower 1/3 of the face and neck. In the post-operative photos you can see improvement in the jowls, the contour of the jawline, and the neck. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #chicago #chicagoplasticsurgery
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Just a little hi def liposuction and abdominal etching before sweater weather.

#plasticsurgery #plasticsurgeon #liposuction #liposculpture #cosmeticsurgery #chicago #chicagoplasticsurgery
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Happy for this patient who wanted to look less tired, more youthful, and natural. The patient underwent an upper and lower #blepharoplasty or #eyelid lift. In the post-operative photos, you can see improvement in the “bags” under the eyes, the deep crease between the eyelids and cheek, and loose skin. Posted with permission.

#plasticsurgeon #plasticsurgery #cosmeticsurgery #blepharoplasty #eyelidlift #botox #fillers #fattransfer #chicago #chicagoplasticsurgery
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Challenging #rhinoplasty in a thick-skinned patient with a lot of things to address. The patient wanted a reduction in the dorsal hump, a straighter nose, and a smaller nose over all. The patient underwent a dorsal hump reduction, the nose was medialized, and the tip de-projected or pulled closer to the face and refined. Still her nose that fits her ethnicity but more balanced and refined. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chicago #chicagoplasticsurgery
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This mother of 2 wanted a #mommymakeover to get her pre-baby body back plus more. The patient underwent a #BBL and breast augmentation. In the post-operative photos you can see the snatched waist, the abdominal etching, and improved contour of the hips and buttock. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #BBL #breastaugmentation #gummybear #chicago #chicagoplasticsurgery
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Happy for this mother of 3 who wanted improvement in the size, shape, and symmetry of her breasts. The patient underwent a breast augmentation with 400 cc gel implants. In the post-operative photos you can see restoration of volume and improved shape and symmetry. Posted with permission.

#plasticsurgery #plasticsurgeon #breastaugmentation #breastimplants #gummybear #chicago #chicagoplasticsurgery
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My fellow Chicago Booth alumni will appreciate this post. It was a great night for the Illinois Society of Plastic Surgeons where we had Professor Jean-Pierre Dube speak about “The Chicago Booth Approach to Pricing”. Dr. Dube is the James M. Kilts Distinguished Service Professor of Marketing at the University of Chicago Booth School of Business and he is the director of the Kilts Center for Marketing. Dr. Dube discussed strategies on how to use marketing models and analytics to price medical services and medical products.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #chicagobooth #chicago #kiltscenterformarketing #pricing #marketing #mba #chicago
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I don’t usually post rhinoplasty results this early but she was looking so good so early that I had to share. This patient with thick skin is 6 weeks out from a primary ethnic rhinoplasty but already showing a positive impact from the surgery despite the long road to recovery. Posted with permission.

#plasticsurgery #plasticsurgeon #rhinoplasty #nosejob #ethnicrhinoplasty #cosmeticsurgery #chicago #chicagoplasticsurgery
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Not getting the gym gains you want? Your plastic surgeon board certified by the American Board of Plastic Surgery can help. This patient underwent hi-def liposculpting and abdominal etching to improve the contour and aesthetics of his abdomen and waist. Posted with permission.


#plasticsurgery #plasticsurgeon #cosmeticsurgery #maleplasticsurgery #liposuction #hidefliposuction #liposculpture #abdominaletching #chicago #chicagoplasticsurgery
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This is a great case to highlight the importance of evaluating the chin with the nose in all rhinoplasty cases. Look at the video and focus on the nose, watch it a second time and focus on the chin, and then watch it a third time and focus on the nose and chin or the whole face. For the rhinoplasty, most of the work was focused on the nasal tip. For the chin, a reduction genioplasty was performed to narrow, lower, and set the chin back. Posted with permission.

#plasticsurgery #plasticsurgeon #cosmeticsurgery #nosejob #rhinoplasty #genioplasty #chinaugmentation #chicago #chicagoplasticsurgery
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