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Top Three Reasons for Revision Rhinoplasty

Dr. Philip Miller

May 21, 2018

revision rhinoplasty patient in new york

Although rhinoplasty is one of the most complex and delicate plastic surgeries, it still carries a high success rate, leaving many patients satisfied with their improved nose. Unfortunately, not every rhinoplasty is deemed successful by the patient, leading some to seek a second, or revision, rhinoplasty. Sometimes, it’s just disappointment that leads to a revision rhinoplasty, but there are other reasons that might cause a second stop at the plastic surgeon’s office, such as Dr. Philip Miller’s New York plastic surgery clinic.

Reason #1: A Disappointing Result

Many of the patients seeking revision rhinoplasty do so because they do not feel that their surgical results met the expectations they had prior to surgery. Disappointing results can occur when surgeons use outdated or ineffective techniques, when problems arise during the surgery or healing process, or because a patient and surgeon had a miscommunication about what was expected. Some patients may have an idea in mind that isn’t practical; other times the surgeon might have left a nose too pointy or too narrow, leading the patient wanting more.

If a patient had a strong trust in their first rhinoplasty surgeon, he or she might return for a second procedure, but this is less likely. Typically, after an unsatisfactory nasal surgery, most revision patients are keen to find a revision rhinoplasty specialist to perform their secondary rhinoplasty.  Finding a second plastic surgeon, preferably one who specializes in revision rhinoplasty, should involve doing thorough research, asking many questions, and talking specifically about the expectations not met during the first surgery and the desires you have for a second surgery.

Reason #2: A Post-Surgical Complication

Rhinoplasty is a highly complex surgical procedure, requiring the surgeon to have the utmost level of skill and a close attention to detail. Because the appearance and functionality of the nose are so closely connected, every move the surgeon makes must be exactly right. For example, when the size and shape of the nose are altered, it can easily disrupt the patient’s ability to breathe properly. On the other hand, a rhinoplasty performed to improve breathing might affect the way the nose appears.

Some of the post-surgical complications that can occur include a change in nasal function such as trouble breathing, a bump or depression that forms after surgery, and an excess of scar tissue growth during the healing process. Although it is rare, more serious complications can follow rhinoplasty, such as a deviated septum or nasal valve collapse. Working with a board certified and experienced plastic surgeon to resolve these issues can prevent further damage and complications.

When a first rhinoplasty results in unwanted changes which affect the functionality of the nose, a revision surgery is almost always necessary to correct these errors. Whether due to outdated techniques, a miscalculation, or an unforeseen complication, post-operative problems  involving the function of the nose may need to be addressed right away. Many patients in this situation are willing to work with the same surgeon to correct the issue, because it is not always the result of poor training or a lack of expertise. Sometimes, as with any surgery, the risks involved with rhinoplasty may become real. The importance of working with a plastic surgeon with proven credentials, a reputation for success, and the most up-to-date techniques cannot be stated enough.

Reason #3: An Unexpected Visit

For some patients, returning for a second rhinoplasty has absolutely nothing to do with their first surgery or the outcome. Sometimes, injuries and accidents can ruin the beautiful nose that was hand-crafted for you by a skilled plastic surgeon. Your first rhinoplasty does nothing to protect your nose; it will still be as naturally vulnerable as ever before. Just as many patients find themselves having a first rhinoplasty to repair nasal damage, so too can patients wind up back in the office for a second rhinoplasty. Other patients may find that years after their initial successful rhinoplasty, aging has created unwanted to changes to the nose, just as it can to an un-operated nose.

What makes this surgery a revision, especially if it’s months or years after the first one? The simple fact that you have had a previous surgery may change the surgeon’s approach to your nasal repair strategy. The nose is a delicate place to operate, so your surgeon must have a complete understanding of yours in order to keep it looking and working great at the same time. And on a technical level, he really will be revising that surgery you had all that time ago. With this in mind, make sure to locate a skilled facial plastic surgeon with experience performing revision rhinoplasty before you schedule your own surgery. To learn more about rhinoplasty, visit

Where to Go for First- and Second-Time Rhinoplasty

Whether you’re looking for a revision rhinoplasty or this is your first time around, it is equally important to carefully select the plastic surgeon to perform your surgery. Make sure you choose only the very best revision rhinoplasty surgeon for your surgery. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.

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Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller provides patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

Skin Care Treatments

Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

Male Plastic Surgery

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with over 20 years of experience working with male and female patients. He specializes in facial plastic surgery and is recognized as an expert in facial rejuvenation procedures. Utilizing the most advanced surgical techniques, Dr. Miller can maintain or enhance masculine features while producing the most natural-looking results.

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