What is a Revision Rhinoplasty?

Rhinoplasty is one of the plastic surgeons' most difficult and artful procedures. Undergoing primary rhinoplasty can require a leap of faith—and when the results are poor, patients can be left shocked and unhappy with their decision. In fact, a subpar rhinoplasty can leave patients more self-conscious than before the procedure. Finding a proficient surgeon in the complex art of revision rhinoplasty is important in such a case. Our board-certified plastic surgeons have been performing revision rhinoplasty in San Diego for over two decades, routinely helping their patients get the result they sought the first time.

Revision Rhinoplasty: Table of Contents

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Restoring Your Nose After an Earlier Rhinoplasty

Revision rhinoplasty is a highly customized technique. Every patient presents with a different set of complications, and various techniques may be necessary to achieve an ideal result. Dr. Chasan, board-certified plastic surgeon, will spend the necessary amount of time to examine your nose, listen to your goals, and generally work to achieve complete understanding prior to the procedure. He will clearly lay out his surgical plan, making you a full partner in your road to a happy, healthy, beautiful nose.

Revision Rhinoplasty: Before & After

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What Can Revision Rhinoplasty Correct?

Revision rhinoplasty is a highly specialized procedure designed to correct both cosmetic and functional issues that remain after an initial nose surgery. At Ranch & Coast Plastic Surgery, Dr. Chasan has helped countless patients restore both confidence and comfort by addressing complications from previous rhinoplasties.

Virtually any nose-related concern can be improved or corrected. Whether you're dealing with aesthetic dissatisfaction or functional breathing problems, a revision procedure can offer a second chance at achieving the results you originally envisioned.

Common Concerns Addressed by Revision Rhinoplasty:

  • A nose that appears unnatural or overdone
  • An under-corrected nasal bridge, leaving a hump or prominent profile
  • An over-corrected bridge resulting in a “saddle nose” or collapsed appearance
  • An uneven or crooked nasal tip
  • Asymmetry or irregularities in the bridge or overall nasal shape
  • A nose that feels too large or too small in proportion to the face
  • Breathing difficulties or airway obstruction following the initial surgery

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Revision Rhinoplasty Benefits

Whether correcting breathing issues, refining the nasal shape, or achieving better balance with your facial features, this procedure offers the following benefits:

  • Addresses obstructions that impact airflow and nasal function
  • Refines irregularities or asymmetry left by previous surgery
  • Resolves concerns such as a dorsal hump, crooked bridge, or bulbous tip
  • Achieves a more harmonious appearance that suits your facial proportions
  • Helps patients feel more confident and satisfied with their overall appearance
  • A tailored approach ensures results that meet your unique goals and concerns

How is a Revision Rhinoplasty Performed?

As mentioned, the revision rhinoplasty procedure will be different for each patient. Following are some techniques our surgeons may use:

  • In the case of excess cartilage that should have been removed in the primary procedure, our surgeons will precisely remove the exact amount necessary to retain structure and produce an aesthetic result.
  • In the case that too much tissue was removed, the procedure will be more complex. Our surgeons may use cartilage from other parts of the body to reinforce the nasal structure and ensure the nose is cosmetically in balance with the rest of the face.
  • If the skin on the nose is very tight, the surgeon will use precise techniques to restore a natural appearance to the nose and face.

In addition to the above, our board-certified plastic surgeons have an extremely thorough knowledge of the entire nasal structure. They can use this knowledge to fluidly addresses whatever combination of complications are presented. All told, the revision rhinoplasty patients are grateful following their procedure, having finally achieved the results they originally desired.

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Am I a Good Candidate for Revision Rhinoplasty?

Ideal candidates generally meet the following criteria:

Concerns-Based Criteria

  • Dissatisfaction with the aesthetic results of a previous rhinoplasty
  • Breathing difficulties or nasal obstruction
  • Asymmetry, a collapsed bridge, or uneven nasal tip
  • Scar tissue or irregularities that have impacted healing

Health-Related Criteria

  • Good overall health with no uncontrolled medical conditions
  • Fully healed from the previous rhinoplasty (typically 12+ months)
  • Non-smoker or willing to quit before and after surgery
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Ranch & Coast Plastic surgery is my favorite place I have ever had plastic surgery. The place is very professional with top tier customer service. At ranch coast you are greeted and treated like family.
Dr. Chasan is really the best doctor out there. I got my rhinoplasty done by him and the results were higher than my expectations.
Dr. Francis was fantastic.  In his patience, confidence, ability to clearly answer my questions in terms of layman's language, and bedside manner.
Absolutely love my tummy tuck and lipo. The belly button scar is small and looks great. No dog ears, no complications. Dr. Chasan is talented and skilled. He seems to be very detail oriented which is a must for choosing a plastic surgeon! I would recommend him!
Dr. Chasan is awesome, front desk people helpful, and I loved the patient coordinator! Everyone made me feel super relaxed and comfortable and optimistic about my situation... I totally feel comfortable with Dr. Chasan, I can tell he knows what he’s doing and I know I’ll be in good hands. I did a lot of research beforehand, and I figured if anyone could help me, Dr. Chasan could, and I was not disappointed!
I highly recommend Madeline for Hydra Facials. She is super nice and very professional. She really takes the time to recommend the best service for my skin. She will customize the facial to suit my skin. My skin always looks amazing after a facial with Madeline.
I was referred by a nurse friend of mine and she was right! I have been treated with dignity, respect, and kindness all by a team of extremely knowledgeable and experienced professionals. What a fluid process from the very beginning to the very end. Absolutely no complaints. I even drifted off to sleep laughing with one of the nurses. I needed to call Dr. Chasan in the middle of the night and he answered my call and concerns kindly. I am extremely happy with the results of my breast augmentat...
Wilma has been a nurse for Dr. Chasan at Ranch & Coast Plastic Surgery for many years. She is kind, reassuring, beautiful inside & out. She is also an incredible injector! She has done my Botox for years! I highly recommend her!
I was referred to by a nurse friend of mine and she was right! I have been treated with dignity, respect, and kindness all by a team of extremely knowledgeable and experienced professionals. I am extremely happy with the results of my breast augmentation and lift. What an improvement! Thank you!
Anh is like my personal life coach for wellness and beauty. She has a gentle touch and explains everything with so much knowledge . I appreciate that, especially since I have never had laser treatment or Botox done before. Thank you, Anh and Sandra , you are true assets in times when customer service is becoming a luxury of the past.
Dr. Francis is truly exceptional and deserves more than 5 stars! I had multiple consultations before I met Dr. Francis, and I immediately knew he was the right person for my surgery. The recovery process was a breeze, and I couldn't be happier with the results. The office itself is stunning and pristine. I wholeheartedly recommend Dr. Francis to EVERYONE!
I saw Dr. Francis for submental liposuction + chin filler and my experience was fantastic. I am so happy with the result! Dr. Francis’s staff were wonderful as well. If you’re considering a procedure with Dr. Francis, I highly recommend him!
I found Dr. Francis after a quick “otoplasty” google search and didn’t know what to expect. I scheduled a consultation with him and all the staff were so welcoming and the surgery went great.  My ears look great, they feel great and I am super happy with the entire process. I am so grateful for everything Ranch and Coast has done for me!
I love the results of my Botox and everything about my visit with Sasha, RN. She was knowledgeable, friendly, and I’m very pleased with her care.
I had an amazing experience with Anh! From the moment I walked in, she made me feel completely comfortable and at ease. She took the time to listen to my concerns and provided expert recommendations tailored to my goals. Her attention to detail and gentle technique made the entire process smooth and virtually painless. The results are absolutely stunning—natural, refreshed, and exactly what I was hoping for! Anh’s professionalism, knowledge, and warm personality set her apart. I h...
I’ve been getting lip filler for years. A friend of mine referred me to Ranch and Coast Plastic Surgery. Ahn is their physicians assistant that does fillers Botox, Skin care, etc. I rarely even write reviews, but she was so good , so calm and so easy that i am compelled to review. Of all the places I’ve been to before I’ve never had numbing /lidocaine ointment that made it a much more pleasant experience. Ahn is professional, precise, I felt completely at ease with her. And ...
Got a facial recently with Madeline and absolutely loved it! She took care of all my skin care needs and gave me great recommendations and tips for my skincare routine :) Go see her!
If you ever need a little pampering you must go see Madi for a facial. Her facials are second to none! I have tried to go to others, but she really knows how to evaluate what your skin needs. I will continue to visit her. She really is AMAZING!
I recently visited Ranch and Coast for Botox! I was greeted by their amazing staff and then Sasha! She was a doll from the start! She listened to all my questions and was very thorough in explaining everything to me as to what we would be doing! The results speak for themselves I’ve never been happier with Botox in my life. By far the best! The entire experience was a 10 and I will certainly be returning client ! 100 %recommend.
I had a very crooked looking face before Anh “fixed” me, and I am absolutely thrilled with the results. I had dental work done a few years ago because of the long procedure (bone graft, implant, etc.) the masseter muscle on my left side had become weak, I had made it a habit to chew on my right side. Because of this, my left cheek was very sunken in. I had been getting Botox on the right in hopes to weaken the right side to even out my face; but my most recent treatment had...
As a woman with naturally large breasts, I didn't think I was able to achieve the high, round, perky look I had always wanted. I thought that look was only available to women who were naturally flat chested and received implants. However, the science evolved and Dr. Chasan was able to give me exactly what I envisioned. There was always communication so I felt completely supported and valued throughout the entire process.
I have been there for three cools sculpts and every time Brooke was cheerful, on time, friendly and tried her hardest to get everything right and make me comfortable. She is a talented professional.
Brooke at Ranch & Coast is very thorough in her treatments and I highly recommend her and Ranch & Coast for cool sculpting and other treatments/procedures.
I got my first lip filler ever using Rha3 with Anh and I could not be happier! She made me comfortable the whole time and made the process as pain free as she could for me and also gave suggestions to balance out my face more. I will definitely be back and I'm glad I found an amazing injector the first time around. Thank you again!Amazing experience with Coolsculpting Elite with Brook as well. Did my stomach and inner thighs and she sculpted the body of my dream...
I have seen Wilma more times than I can count now and for numerous different things (from minor cosmetic procedures to surgeries) and she has THE BEST bedside manner! She always greets me with a smile and a hug :) She’s extremely professional and knowledgeable but also very personable. Wilma always goes above and beyond with me and spends as much time with me as I need. I never feel rushed or nervous. Her care feels so personal and personalized. I’m grateful to have Wilma in my ar...
Brooke’s Lymphatic massage is an absolute gift. After surgery, she was able to move the fluids around, help reduce swelling and increase overall circulation. Definitely recommend her treatments be incorporated into your healing process. Thank you Brooke!
I feel welcome from the time I enter the office and throughout my appointment. Wilma is fantastic and uses good judgment and her experience for my treatment. She is the best!
I had a great experience with Sasha as my injector. She took the time to go over my goals and she accomplished them. I would definitely recommend using her.
I recently had a Mommy Makeover with Dr. Paul Chasan at Ranch and Coast, and I couldn't be more thrilled with my experience and results! From the moment I walked in, the staff made me feel comfortable and welcomed. They're always enjoyable to be around. During my consultation, Dr. Chasan took the time to really understand my goals and showed me exactly how we could achieve the results I was looking for. He went over the procedure options, explaining everything clearly including looking...
I'm a very happy, long-time patient of Dr. Chasen & Brooke. Brooke did some Cool Sculpt procedures on me 2 years ago & I'm so pleased with the results. As I am aging, I notice I may need touch-ups, so I came back to Brooke to get her professional opinion. She is so knowledgeable & professional. I trust her. That's so important. I am so lucky & grateful to have found Dr. Chasen and Brooke.
I went to Wilma at Ranch and Coast Plastic Surgery for Botox and really happy with consultation she gave me and the results it gave me. I felt free to ask questions about the procedure and how I would like the procedure done in specific areas and I appreciated the customized consultation she was able to offer me. She has a great personality and did not make me feel like just another number. I felt the care she took in helping me achieve my desired results and would most definitely go back to ...
I had CoolSculpting done on my chin five weeks ago, and I’m very pleased with the results so far. The treated area already looks more contoured and slim, and I can’t wait to see the final outcome at three months! Brooke was incredibly helpful and nice, making the whole process comfortable. Overall, the experience was positive, and I’d recommend it to anyone looking for a non-invasive way to improve their appearance.
Brooke is a professional and her dedication and knowledge ensure quality safe results. Best in the business.
I’m so happy I found Anh Bridgewater PA-C. She is intuitive, assertive, and a great listener. Her skills are on point and I wouldn’t trade her for anyone else.
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Why Choose Ranch & Coast for Revision Rhinoplasty?

When undergoing revision rhinoplasty in San Diego, it is important that your surgeon is extremely skilled in manipulating the tissues of the nose. Revision rhinoplasty presents many complexities, and only a master surgeon should be sought for the job. While our surgeons deliver the full array of face, body, and breast procedures, they possess a particular forte in the delicate facial procedures, particularly rhinoplasty and revision rhinoplasty.

With over two decades of experience in the field, our doctors and team have created a practice filled with friendly, professional, and highly trained staff. At Ranch & Coast Plastic Surgery, you can expect every step of your journey to be met with total responsiveness and attention to detail. After all, you have trusted us to perform your revision rhinoplasty, and we want you to get the result you were seeking the first time around.

Revision Rhinoplasty FAQ

How Soon After My Primary Rhinoplasty Can I Undergo Revision Rhinoplasty?

It's generally recommended that you wait at least 12 months after your primary rhinoplasty before undergoing revision. This allows for full healing as swelling and tissue changes continue for up to a year, making it easier to assess the final result.

Will Revision Rhinoplasty Take Longer to Perform Than My Initial Surgery?

Due to its complexity, revision rhinoplasty often requires a longer surgical time. The need to correct previous alterations, rebuild structure, or use grafts adds intricacies that make revision procedures generally more time-intensive than primary rhinoplasties.

What Are the Risks Unique to Revision Rhinoplasty?

Revision rhinoplasty carries some specific risks, such as increased scar tissue, compromised blood supply, and the potential for more challenging healing due to previous surgical alterations. Choosing an experienced surgeon such as Dr. Chasan can help mitigate these risks.

Can Revision Rhinoplasty Improve My Breathing if I’ve Had Difficulty Since My First Surgery?

Yes, revision rhinoplasty can address functional issues, including breathing difficulties, that may have resulted from the initial surgery. To improve airflow, structural adjustments or additional support for the nasal passageways are often part of revision procedures.

How Much Swelling Should I Expect After Revision Rhinoplasty Compared to the Initial Surgery?

Swelling after revision rhinoplasty can be more pronounced and last longer than after the initial surgery, especially if grafting or extensive reconstruction is involved. Most swelling subsides within a few months, but minor residual swelling can persist for up to a year.

Can Revision Rhinoplasty Correct an “Overdone” Appearance?

Yes, many patients seek revision rhinoplasty to address an overly refined or unnatural look. Skilled surgeons like Dr. Chasan can reshape the nose, soften its appearance, and restore a more natural look that complements the patient's facial features.

How Long Will the Results of a Revision Rhinoplasty Last?

Revision rhinoplasty results are generally long-lasting, but natural aging processes will still impact your nose’s appearance over time. Barring major trauma or significant weight fluctuations, revision rhinoplasty can provide results that last a lifetime.

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