Restore both form and function with revision rhinoplasty at New York Group for Plastic Surgery. This advanced procedure corrects cosmetic flaws and functional issues from previous nose surgeries. Dr. Jordan M.S. Jacobs, our board-certified expert in complex nasal reconstruction, offers personalized, precision-driven solutions to help you breathe better and look your best.
Correct Unwanted Results From Prior Nose Surgery
Revision rhinoplasty is a surgical procedure performed to correct or improve the results of a previous nose surgery. It addresses both functional issues, such as breathing difficulties or collapsed nasal passages, and cosmetic concerns like asymmetry, a drooping tip, or an irregular bridge. Because the nose may have scar tissue, structural weaknesses, or lost support from prior surgery, revision rhinoplasty is more complex than a primary rhinoplasty. It often requires grafts from the septum, ear, or rib to rebuild and support the nasal structure.
You May Consider Revision Rhinoplasty If:
- You have difficulty breathing after a previous nose surgery
- You are unhappy with the cosmetic results of your first rhinoplasty
- You notice a crooked or asymmetrical nasal bridge
- You have a drooping or pinched nasal tip
- You experience nasal collapse or structural weakness
- You have overly wide or narrow nostrils
- You see a visible dorsal hump or irregularities on the nose
- You feel your nose looks worse than before the surgery
- You have a deviated septum that wasn’t corrected properly
- You want to restore balance and harmony to your facial features
Explore Your Options & Visualize the Results
During your consultation, Dr. Jacobs will conduct a thorough evaluation of your nasal anatomy, scar tissue, and the structural integrity of your nose. He’ll review your surgical history, listen carefully to your concerns, and identify the root causes of both cosmetic dissatisfaction and functional issues. A nasal endoscopy may be performed to assess internal structures, and photographs will be taken from multiple angles to assist in detailed planning.
We use the Vectra XT 3D imaging system to capture ultra-high-resolution images of your face and simulate potential surgical outcomes. Dr. Jacobs will show you what changes are possible, explain the limitations of revision rhinoplasty, and recommend the most effective approach. This ensures you understand your options fully and feel confident in your surgical plan.
Your Revision Rhinoplasty Session
Your revision rhinoplasty will be performed by Dr. Jacobs under general anesthesia in an advanced surgical setting. Most revision cases require the open approach, which involves a small incision across the columella (the tissue between the nostrils) to lift the nasal skin and provide full access to the internal structures. This allows Dr. Jacobs to examine previous alterations, scar tissue, and any structural deficiencies caused by your initial surgery.
Depending on the extent of the damage, Dr. Jacobs may use autologous cartilage grafts—typically harvested from the nasal septum, conchal cartilage of the ear, or costal cartilage of the rib—to rebuild and reinforce weakened areas. He’ll address issues like a deviated septum, collapsed nasal valves, asymmetry, or a twisted tip using precise suturing, repositioning, and grafting techniques. The goal is to restore nasal function, support, and harmony with your facial features while minimizing visible scarring and long-term complications.
The Recovery Process After Revision Rhinoplasty
After your revision rhinoplasty, you can expect swelling, bruising around the eyes, nasal congestion, and mild discomfort for the first one to two weeks. Dr. Jacobs will place a nasal splint to protect the structure and support healing, which is typically removed after 7 to 10 days. Most patients can return to non-strenuous work within 10 days, though residual swelling, especially around the tip, may take several months to fully resolve.
You’ll be given detailed aftercare instructions, including how to clean the surgical site, manage swelling, and avoid pressure on your nose. Sleeping with your head elevated, avoiding wearing glasses, and refraining from vigorous activity are essential during the early stages of healing. Dr. Jacobs will schedule follow-ups to monitor your progress and ensure optimal healing. While initial improvements are visible within weeks, your final results may take a year to settle.
Why Choose Dr. Jordan M.S. Jacobs?
Trusted Expert in Advanced Rhinoplasty in New York
Dr. Jordan M.S. Jacobs is a board-certified plastic and reconstructive surgeon with advanced fellowship training in craniofacial surgery from NYU. Known for his compassionate approach, Dr. Jacobs specializes in complex revision rhinoplasty, offering customized solutions to restore form and function. He takes the time to understand your concerns, explain your options in detail, and deliver natural, balanced results. If you’re unhappy with a previous rhinoplasty, schedule a consultation with Dr. Jacobs to explore expert revision rhinoplasty.
