Revision Rhinoplasty in Boston

Name: Revision Rhinoplasty
Brand: The Spiegel Center
Rating: 4.6 (483 reviews)

Are you unsatisfied after prior rhinoplasty, or are you having new breathing issues? The Spiegel Center’s double board‑certified facial plastic surgeons perform complex revision rhinoplasty in Boston to restore nasal balance and airflow.

Revision Rhinoplasty Overview

Revision Rhinoplasty At‑a‑Glance

Purpose: Correct cosmetic or breathing issues after one or more prior nose surgeries.
What we address: Crooked/asymmetric bridge, tip deformities, dorsal humps/depressions, pinched middle vault, over‑ or under‑resection, visible scars, valve collapse, and septal deviation.
Techniques: Open or closed approach; structural grafts (septal, ear, rib, or processed cartilage) to rebuild support.
Anesthesia: Individualized plan in our accredited surgical facility for comfort and safety.
Recovery: Back to desk work ~7–10 days (varies); swelling improves for months; final refinement ~12+ months.

What Is Revision Rhinoplasty?

Revision (secondary) rhinoplasty is surgery performed after a previous nose operation to improve appearance, breathing, or both. Scar tissue, altered anatomy, and limited cartilage resources make revisions more complex than a first‑time procedure.

Dr. Spiegel or Dr. Tower may reinforce the nose with cartilage grafts from the septum, ear (conchal), or rib; in select cases, processed donor cartilage may be appropriate. The goal is a nose that looks natural, fits your facial proportions, and functions reliably.

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What Can Revision Rhinoplasty Fix?

Crooked or asymmetric bridge/tip
Drooping or over‑projected tip
Bumps or depressions on the bridge
Pinched tip or middle vault collapse (internal/external valve)
Shortened, over‑resected, or upturned nose
Residual hump or under‑correction
Visible irregularities or scarring
Breathing impairment from septal deviation or valve collapse

Are You a Candidate for Revision Rhinoplasty?

You may be a candidate for revision rhinoplasty in Boston if you:

Are you unhappy with the results or have new breathing issues after prior rhinoplasty?
Are in good health and non‑smoking (or willing to pause nicotine).
Are realistic about goals and healing time.
Have allowed adequate healing since your last surgery (often 12 months).

Out‑of‑town patients are welcome; our team can help coordinate travel and follow‑ups.

Revision Rhinoplasty Recovery Timeline

Days 1–3: rest, cool compresses, head elevation; mild congestion/pressure.
Days 5–7: splint and some sutures removed; return to non‑strenuous work often ~7–10 days.
Weeks 3–6: resume light exercise as cleared; swelling continues to decline.
Months 3–6: definition improves; small asymmetries settle.
12+ months: final refinement—especially in the tip.

We provide a personalized after‑care plan, including taping, saline rinses, and scar‑care guidance when appropriate.

Revision Rhinoplasty Technique & Grafting

Open vs. closed exposure is chosen due to complexity and the need for precision.
Septal cartilage is preferred; otherwise, ear or rib cartilage provides robust support.
Processed/donor cartilage may be used in select cases.
Structural support with spreader, batten, or alar rim grafts helps maintain symmetry and airflow.
Soft‑tissue refinement to smooth irregularities and improve definition with a natural, non-operated look.

What are the Risks Associated With Revision Rhinoplasty?

All surgery carries risks (bleeding, infection, poor wound healing, prolonged swelling, asymmetry, persistent obstruction, need for further revision). We minimize risk through meticulous planning, proven techniques, and close follow‑up after your revision rhinoplasty in Boston.

Why Choose The Spiegel Center for Revision Rhinoplasty

High‑volume revision expertise: decades performing complex secondary and tertiary rhinoplasties.
Double board‑certified surgeons in facial plastic & reconstructive surgery.
Balanced goals: restore form and function—natural aesthetics with stable breathing.
Advanced grafting & reconstruction: spreader/batten/alar rim support as indicated to correct collapse or asymmetry.
Planning you can see: photographic analysis and digital visualization to set realistic, shared goals.
Comprehensive follow‑through: detailed recovery plan, scar‑care guidance, and structured check‑ins.

Financing Options Available at The Spiegel Center

PatientFi: Check rates without impacting your credit score, low‑interest plan options, and a fast online application.
CareCredit: Present your CareCredit card in person. Choose convenient monthly plans (including 0% promotional options for qualified applicants). Apply before your visit or call 617‑414‑5058 for help.

/resources/financing/For more information, please visit our Financing page.

Revision Rhinoplasty FAQs

How long should I wait before a revision?

Many patients wait about 12 months after prior surgery to allow tissues to stabilize.

Will I need cartilage grafts?

Often. Your surgeon will explain whether septal, ear, rib, or processed cartilage is best for stable, natural results.

Is recovery longer than a first-time rhinoplasty?

Swelling can be more prolonged in revision cases, but most patients return to desk work in about a week.

Can you improve both look and breathing?

Yes—revisions often address cosmetic harmony and nasal airflow in the same operation.

Why is revision rhinoplasty more complex?

Scar tissue and altered anatomy make revision surgery technically more challenging.

What results can I expect?

Results vary by individual, but revision often improves both appearance and function.

How do I know if I need revision rhinoplasty?

If breathing issues, cosmetic concerns, or healing problems persist after your first surgery, you may benefit from revision.

References:

Hwang, H. S., & Spiegel, J. H. (2014). The effect of “single” vs “double” eyelids on the perceived attractiveness of Chinese women. Aesthetic Surgery Journal, 34(3), 374–382.
https://academic.oup.com/asj/article-abstract/34/3/374/220642 403
Spiegel, J. H., & Polat, J. K. (2007). Microvascular flap reconstruction by otolaryngologists: prevalence, postoperative care, and monitoring techniques. Laryngoscope, 117(3), 485–490.
https://onlinelibrary.wiley.com/doi/abs/10.1097/MLG.0b013e31802d6e66 403
Spiegel, J. H., & Rodriguez, G. (2008). Chondrolaryngoplasty under general anesthesia using a flexible fiberoptic laryngoscope and laryngeal mask airway. Archives of Otolaryngology–Head & Neck Surgery, 134(7), 704–708.
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/408787
Spiegel, J. H. (2019). The modified bullhorn approach for the lip-lift. JAMA Facial Plastic Surgery, 21(1), 69–70.
https://www.liebertpub.com/abs/doi/10.1001/jamafacial.2018.0847