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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.
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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.

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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.
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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.

For more information, please visit our Financing page.

FAQs

How long should I wait before a revision?

Will I need cartilage grafts?

Is recovery longer than a first-time rhinoplasty?

Can you improve both look and breathing?

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.

References:

Related Reviews

Procedure: Revision Rhinoplasty

Source: Tracy O., Yelp, 8/7/25
I could not have been more pleased with my revision rhinoplasty performed by doctor Tower. He and his assistant Christina were a pleasure to work with. Dr. Tower was very thorough in explaining the procedure during my pre-op visit. His assistant Christina responded to all of my questions and concerns with patience and kindness. I am thrilled with the outcome of my procedure and would not hesitate to recommend Dr.Tower to anyone that I know.

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