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Revision Rhinoplasty in Birmingham

Unfortunately, after spending the time and money to undergo nose surgery, some patients are unhappy with their rhinoplasty results. Patients may be dissatisfied because the surgery did not correct the issues they were looking to fix or because it left them worse off than before. Sometimes these issues develop as a result of the technique that was used or other times as a result of the way the tissues heal.

You deserve to be happy with your appearance after undergoing cosmetic surgery. Dr. Grotting and Dr. Cohn offer revision rhinoplasty (secondary rhinoplasty) to help patients achieve their desired nose size and shape.


What Can Rhinoplasty Revision Do for Me?

Improve Nasal Symmetry

After a primary rhinoplasty, the nose may heal in a way that leaves it crooked or imbalanced with the rest of the face.

Revision rhinoplasty can adjust the size, shape, and projection of your nose, which can improve your overall nose and facial symmetry and balance.

Correct a Bulbous Tip

You may be concerned about a bulbous, round nasal tip that your nose surgery failed to correct or that developed after rhinoplasty.

Bulbous tip revision rhinoplasty can reduce excess cartilage to create a more narrow, defined nasal tip. Tip revision rhinoplasty can also correct a downward or upturned nasal tip.

Improve Nasal Function

A revision rhinoplasty improves the nasal appearance as well as the function. Although rare, a botched nose job may negatively affect your breathing.

By reshaping the septal cartilage and bone, a revision nose job can correct nasal function, allowing you to breathe easier.

How Is Revision Rhinoplasty Done?


Rhinoplasty revision is performed under anesthesia to ensure your comfort throughout the procedure. Depending on your needs and the amount of correction needed, surgery can be performed using local anesthesia, general anesthesia, or intravenous sedation.

During your consultation, your board-certified plastic surgeon will determine which anesthesia option is best for you.


Incision placement for rhinoplasty revision will depend on the issues needing to be corrected and the scar tissue and cartilage on the nose.

Incisions may be made inside the nose (closed rhinoplasty) or externally along the columella to lift the nasal structures (open rhinoplasty). A closed rhinoplasty technique can generally be used for minimal correction, whereas an open technique is better for more significant changes.

Your revision rhinoplasty surgeon will work to place these incisions in inconspicuous locations to avoid visible scarring. However, some scars may still be noticeable on the underside of the nose.

Reshaping the Nose

Everyone has different needs for their revision rhinoplasty, so techniques will vary. During your consultation, our revision rhinoplasty doctors will create a personalized surgical plan based on your needs and goals.

Once incisions are made, your surgeon will begin reshaping your nose. Some techniques may be similar to those of an initial rhinoplasty, but they are generally more complex.

Revision rhinoplasty often requires a cartilage graft from the ear or rib to provide structural support to the nasal bridge, tip, and/or septum.

Revision Rhinoplasty Surgery Recovery and Results


What Is the Recovery From Rhinoplasty Revision Like?

Patients will experience swelling, bruising, and pain for the first few days after their surgery. However, any discomfort can be relieved with prescription or over-the-counter medication.

You should plan to take at least one week off from work. Patients whose jobs require strenuous activity may need more time off.

The full healing time for revision rhinoplasty is about four to six weeks, after which exercise and strenuous activities can be resumed.


How Should I Sleep After Revision Rhinoplasty?

To promote proper healing after rhinoplasty revision and reduce swelling, you should sleep on your back with your head elevated for a few weeks. Sleeping on your side can put pressure on your nose and compromise your results.


When Will I See My Results From My Rhinoplasty Revision?

Results from your rhinoplasty revision will be visible as soon as swelling and bruising subside. This could take a few weeks.

Additionally, your results will continue to improve over the next year.

Longevity of Results

How Long Will My Results From Revision Rhinoplasty Last?

Rhinoplasty revision results are intended to be permanent. However, physical trauma to the nose can affect the appearance of your results.


Birmingham, AL

“Doctor, nursing staff were kind, caring and professional. My results were perfect. Great instructions on after care. [Single best thing is…] I had a ”difficult” nose to repair. My results were beautiful. I was turned away by other plastic surgeons.”

Birmingham Rhinoplasty Patient

Frequently Asked Questions

The cost of your revision rhinoplasty will depend on the surgical techniques used and the amount of correction needed. Additionally, the cost will depend on anesthesia fees, surgeon fees, operating room fees, and the procedure’s location.

During your consultation with Dr. Grotting or Dr. Cohn, you will be informed of your specific revision rhinoplasty cost based on your needs and goals.

You may be a good candidate for secondary rhinoplasty if your initial surgery left you dissatisfied with your results.

Generally, secondary rhinoplasty patients:

  • Are in generally good health
  • Do not smoke
  • Have realistic expectations of their results

A consultation with Dr. Grotting or Dr. Cohn will determine if revision rhinoplasty is right for you.

Undergoing revision surgery too soon after your rhinoplasty procedure can be dangerous and ineffective. It is recommended to wait at least one year after your original rhinoplasty to undergo a revision procedure.

The length of secondary rhinoplasty surgery varies between patients depending on the surgical techniques used. Generally, the procedure takes one to four hours to perform.

Many people undergo rhinoplasty to improve their facial balance and symmetry. Additionally, facelift surgery, ear reshaping surgery, chin augmentation, and facial fat grafting can be performed to improve your appearance.

Since secondary rhinoplasty is performed under anesthesia, you cannot drive yourself home. Please plan to bring a responsible adult with you to the appointment to drive you home and assist in your recovery.

When performed by a qualified, board-certified plastic surgeon such as Dr. Grotting or Dr. Cohn, revision rhinoplasty is generally safe. However, even with the best revision rhinoplasty surgeon, risks are present with any procedure.

These risks include:

  • Scarring
  • Prolonged swelling/bruising
  • Infection
  • Numbness
  • Pain
  • Discoloration
  • Unsatisfactory results

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