Revision Rhinoplasty Overview

Rhinoplasty is one of the most popular plastic surgery procedures. It’s also one of the most complicated corrective cosmetic procedures. As with any treatment, rhinoplasty does not always go perfectly. A properly executed procedure in expert hands should carry a minor chance of a negative outcome. However, even in the best, most experienced hands, a small percentage of patients may develop an unwanted result. If your original rhinoplasty does not deliver the aesthetic or functional outcomes you had wished for, you may need an additional surgery called “revision rhinoplasty” to repair the damage and deliver your desired results.

Revision rhinoplasty is even more technically difficult than a primary rhinoplasty since the normal anatomical landmarks no longer exist. However, correction of previous or multiple rhinoplasties with unsatisfactory results can be achieved with the right doctor. Dr. Michel Siegel has an intricate understanding of nasal anatomy, vast experience in nasal surgery, and an unrivaled artistic sensibility- which make him able to tackle even the most difficult cases and achieve superb results.

Before & After Gallery

The Revision Rhinoplasty Process


The first step in any revision nose job surgery is the initial consultation. During this appointment Dr. Siegel will take a look at your records and perform a detailed examination of both the outside and inside of your nose to ensure the cosmetic appearance and internal breathing mechanisms have been properly diagnosed. He will patiently answer any questions, and address all of your concerns. This is particularly important in revision rhinoplasty, since he needs to understand how your original procedure went, why you are unsatisfied, and what results you’d like to achieve. After discussing these factors with you and designing an individualized plan for your surgery, Dr. Siegel will generate a three-dimensional model of your revision rhinoplasty “before and after.” This will allow you to see a digital production of the planned outcome, allowing you to provide feedback so that Dr. Siegel can refine his plans and ensure that he understands your vision. There is no set time for this appointment – he will meet with you for as long as needed to ensure you feel confident and comfortable with your customized treatment plan.


Since each nose job revision is unique, your pre- and post-operative instructions may vary depending on the custom treatment plan Dr. Siegel has designed. We will provide you with specific, personal guidelines to follow so that you are ready for surgery. Dr. Siegel will go over everything you need to know and do from the week before your surgery to the end of your recovery. While these may vary, there are some general rules you’ll most likely need to follow, such as hydrating yourself properly and stopping taking medications that could interact with anesthesia.


Your revision nose surgery will be performed in a safe and certified Hospital facility. Since each procedure is unique, the length of the surgery itself will vary according to its complexity. Dr. Siegel’s goal is to ensure that every detail and concern discussed in the consultation has been properly addressed, and the surgery will be complete when he is confident that the best possible outcome has been attained.


Due to Dr. Siegel’s skill level, experience, and specialty in nasal surgery, most revision rhinoplasty patients recover more swiftly and smoothly than they had imagined. Additionally, the recovery is typically much easier than any previous nose surgeries that were performed elsewhere. Dr. Siegel doesn’t use any internal packing or gauze, which cause the traditional pain and pressure associated with nose surgery. Instead, an external splint will be worn (only on the bridge of the nose) for five to seven days after surgery, after which most patients return to work. The delicate approach taken to handling tissues will also eliminate the traditional black and blue eyes associated with rhinoplasty. Successful results depend not only on the surgery itself, but also on scheduling regular follow up appointments during your recovery to ensure that your nose heals optimally. We typically recommend frequent follow-ups after your surgery for at least one year from your procedure date.


How long after the initial procedure do I need to wait before I get revision rhinoplasty?

Typically, we recommend that patients wait at least six months to one year before undergoing a revision nose job, because of the length of the healing process for nasal cartilage, bone and skin. To achieve the best revision rhinoplasty results, it’s preferred that you’ve completely recovered from your prior procedure before beginning the process of revising it. However, these are all general timelines. Since each patient and each nose job is distinctive, the timeline for this process can also vary. In some cases, revision rhinoplasties may be performed as early as four to five months following the primary procedure. If you are dissatisfied with your results from a previous rhinoplasty, do not hesitate to contact our Houston practice to schedule a consultation. Once Dr. Siegel examines your nose and reviews your procedure(s), he will figure out the best timing for your particular case.

Can a revision be done for all types of nose surgeries?

Generally speaking, yes. Dr. Siegel is well-versed in a wide variety of rhinoplasty techniques. No matter what type of nose surgery you originally underwent, he will work tirelessly to restore your breathing function, improve your anatomical configuration, and give you a cosmetically pleasing, natural looking result.

How do I know if I should get a nose job revision?

If you are unhappy with the appearance or function of your nose after your rhinoplasty, you should consider a revision rhinoplasty. For example, if you find you have more trouble breathing after this procedure, your nose appears asymmetrical, or the bone appears to be healing incorrectly, your rhinoplasty may need to be fixed. There are many different reasons you might pursue this procedure. If you have any doubts about your original rhinoplasty, we recommend scheduling a consultation with Dr. Siegel. He will determine if you are a good candidate for this procedure.