Revision Rhinoplasty

Consultations offered at our seven convenient locations in Manhattan New York City, Princeton New Jersey, Scarsdale, Woodbury Long Island, Southampton, Smithtown and Boca Raton, Florida

Revision rhinoplasty, or a secondary “nose job,” is a surgical procedure that enhances or corrects the results of a previous rhinoplasty. Surgeons typically perform this procedure for patients who have undesirable outcomes from their initial rhinoplasty and therefore seek revisional surgery to refine their nasal contour. This procedure can be more complex than the primary rhinoplasty but provides patients with improved nasal and facial symmetry, and improved nasal function. 

Greenberg Cosmetic Surgery & Dermatology is home to experienced and knowledgeable board-certified plastic surgeons who have a combined wealth of rhinoplasty knowledge, so patients can achieve the results they initially desired by way of revisional surgery. Our surgeons’ dedication to patient safety and satisfaction inspires natural-looking and long-lasting results.

If you are seeking a revision rhinoplasty on Long Island, New York City, Westchester, or Princeton New Jersey,  schedule a consultation with us. 

Visit or call one of our New York or New Jersey  locations to take the first step toward your dream nose:

Before and After Photos

What is Revision Rhinoplasty?

Rhinoplasty is performed for both functional and cosmetic reasons as it alters the internal and external structures of the nose. After primary surgery, some patients find themselves dissatisfied with their results, whether they be functional, cosmetic, or both. (1) Revision rhinoplasty can adjust a patient’s nasal appearance and contour to ensure the patient’s needs are met. Our surgeons perform extensive consultations and examinations of each patient to create their ideal results the second time around.

Reasons for Revision Rhinoplasty

Rhinoplasty is a delicate and highly personalized surgical procedure. It can offer many challenges to the surgeon because the anatomy of the nose is complex. According to research, around 20% of patients seek revision rhinoplasty after their initial healing process is through. This study also revealed that the majority of patients choose to undergo a second surgery for one of two reasons: (2) 

  • They have noticed a new irregularity in the nasal structure after recovery
  • A characteristic they wished to correct with primary surgery was not properly altered

Patients often wish to correct a dip in the nose, a failed dorsal hump removal or asymmetry, and nasal vault collapse. The alterations necessary to correct these issues often require extra cartilage that surgeons can remove from a patient’s ear or ribcage. By adding new autologous cartilage into the nose, our surgeons can restructure it and reinforce its strength without the need for silicone implants. This typically improves both the patient’s results and the overall success of the procedure. (2)

Benefits of Revision Rhinoplasty

Although the decision to undergo a second surgery is not an easy one, patients can benefit from revision rhinoplasty in many ways. Patients often gain confidence and self-esteem after correcting their first rhinoplasty, and the resulting contour can greatly improve their facial symmetry. This procedure can:

  • Create a more natural-looking nasal contour
  • Improve nasal symmetry and overall structure
  • Correct functional issues like a deviated septum
  • Enhance airflow capacity and functioning
  • Remove unnecessary or painful scar tissue
  • Reinforce the nasal bridge with cartilage
  • Refine nasal tip shape and angle

Ideal Candidates

Ideal candidates for this procedure are those who have completely healed from their primary rhinoplasty and desire to refine or improve upon their results. They may be unhappy with the overall contour, shape/angle of the bridge, or obstructed airways after their initial nasal alterations. Candidates should be in good health with no pre-existing conditions that would negatively impact their recovery. To qualify for revision rhinoplasty, patients should also have realistic expectations and the willingness to refrain from smoking nicotine and tobacco before and after their procedure.

Personal Consultation at Greenberg Cosmetic Surgery

Our experienced rhinoplasty specialist will meet with you for a private consultation to discuss the details of your revision rhinoplasty procedure. They will review your medical and surgical history while inquiring about your cosmetic concerns. They will then perform a physical examination of the treatment area and create a customized procedure plan. Our plastic surgeons Dr. Jason M. Weissler and Dr. Jamie R. Wisser will provide time to answer any questions or concerns you may have about revision rhinoplasty. After your meeting, a member of the Greenberg Cosmetic Surgery & Dermatology team will help you schedule your surgery.

Schedule your consultation today.


Patients should prepare for surgery by:

  • Avoiding blood-thinning medications like aspirin and ibuprofen
  • Refraining from alcohol consumption 
  • Abstaining from smoking tobacco/nicotine
  • Creating a comfortable space at home
  • Arranging transportation to and from our surgery center
  • Scheduling at least one week off of work
  • Purchasing groceries in advance to make easy-to-prepare meals
  • Picking up new prescriptions in advance

Revision Rhinoplasty Procedure

This procedure typically requires the use of general anesthesia to keep you comfortable throughout the entire surgery. Depending on your treatment plan, your surgeon can implement an “open” or “closed” technique.

  • An “open” rhinoplasty uses a discrete external incision along the dividing point between the nostrils (the columella). This allows your surgeon exceptional visibility and access to the internal structure of the nose. (1) 
  • A “closed” method uses hidden incisions inside the nasal valves to navigate toward the septum and bridge. 

Because revision rhinoplasty is often a more complex procedure to perform than primary surgery, your surgeon may choose an open approach to make intricate structural changes easier. After making their incisions, your surgeon may require a cartilage graft to achieve the desired results. In optimal conditions, they remove small sections of septal cartilage and carefully suture them in place to reinforce internal nasal areas. Another option is extracting cartilage from the ear, something your surgeon can do during your revision procedure. Your surgeon then improves the structure of your nose by removing, reinforcing, or repositioning the internal anatomy of the nose. (1)

Depending on the specific details of the treatment plan, revision rhinoplasty can take anywhere between 2 to 4 hours to complete.


During your recovery, you will experience swelling, bruising, and some discomfort. We provide detailed and comprehensive aftercare instructions to guide you through the healing process. For the first 24 to 48 hours, you should rest as much as possible and follow prescription medication schedules diligently to reduce any initial discomfort. Cold compresses can also provide measurable relief. 

You will likely feel pressure and congestion during your recovery, but it is crucial to avoid blowing your nose entirely. Avoid strenuous activities for at least 4 weeks after your surgery, and gradually incorporate activity back into your routine. The soft tissues of the nose may take longer to heal after a secondary surgery, so it is important to be cautious during recovery and follow your recovery instructions closely.


Around a year into your recovery, your nasal contour will be close to final as your bone structure solidifies, helping to balance facial symmetry and increase self-esteem. After revision rhinoplasty, the resulting contour is permanent. You can enjoy a more balanced facial profile as the initial swelling dissipates and the contour settles with time

Cost of Revision Rhinoplasty in New York City

Our surgeons each create highly customized procedure plans for their revision rhinoplasty patients. Depending on the patient and their procedure details, the total cost for revision rhinoplasty will vary. To receive a cost estimate, contact Greenberg Plastic Surgery & Dermatology online to schedule a consultation. You may also come into or call one of our locations:


What is a revision rhinoplasty?

Revision rhinoplasty is a specialized surgical procedure aimed at correcting the results of a previous rhinoplasty surgery. It is also known as nose job revision, corrective nose surgery, or nasal reshaping revision. While many individuals achieve the desired results from their initial rhinoplasty procedure, there are cases where complications or dissatisfaction arise. In such situations, revision rhinoplasty offers an opportunity to address these concerns and improve the appearance and function of the nose.

How long should I wait after my primary rhinoplasty to schedule a revision?

It is optimal to wait at least one year after your initial surgery to consult about revision rhinoplasty to ensure you are completely healed. The timing of revision rhinoplasty can vary depending on the individual case.

Why is revision rhinoplasty more complex than primary rhinoplasty?

As your nose heals after the first surgery, scar tissue forms. This typically makes it more difficult to alter the nose with additional surgery. Your surgeon will perform extensive tests to determine the safest and most effective way to improve your rhinoplasty results.

What is the recovery process like after revision rhinoplasty?

Recovery from revision rhinoplasty involves several weeks to months. You will experience some swelling and bruising initially, which gradually subsides over time. Following all post-operative care instructions and attending regular follow-up appointments will ensure a smooth recovery process with optimal results.

When will I be able to return to work after revision rhinoplasty?

Patients typically return to work after one week of downtime. This depends on what your job entails and how you are feeling after your surgery. It is important to listen to your body and not return to strenuous activities too soon, which could lead to suboptimal results.

When will my stitches be removed after revision rhinoplasty?

Depending on the surgeon and the technique used, stitches are typically removed three to five days after revision rhinoplasty. 

Will revision rhinoplasty affect my breathing?

Generally, revision rhinoplasty improves a patient’s nasal airflow. This is especially true if their primary rhinoplasty did not completely resolve issues within the airway.


  1. Jiang A, Chamata ES, Bressler FJ. Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System. Seminars in Plastic Surgery. 2021;35(02):078-087. doi:
  2. Suresh R, Doval AF, Newstrom E, Pham T, Alford EL. Primary and Revision Rhinoplasty: A Single Surgeon Experience and Patient Satisfaction. Plastic and Reconstructive Surgery Global Open. 2021;9(9):e3798. doi: