Revision (Secondary) Rhinoplasty

What is Revision Rhinoplasty?

Revision (secondary) rhinoplasty is corrective nose surgery performed after a prior rhinoplasty or septorhinoplasty. It can resolve functional obstruction, tip or bridge asymmetry, over-resection, polly-beak, pinched tip, inverted-V, or other contour problems.

Who Is It For?

You may be a candidate if you have ongoing concerns following previous surgery, including:

• Breathing difficulty (septal deviation, internal/external valve collapse)
• Asymmetry or irregularities of the bridge or tip
• Over-resection (scooped dorsum) or under-correction
• Scar-related stiffness, contracture, or twisted nose

Surgical Approach & Techniques

Secondary cases often require structural rebuilding to restore support and soft-tissue harmony. Your surgeon selects techniques based on anatomy, scar tissue, and goals.

• Open approach for maximal visibility in complex reconstructions
• Cartilage grafts (septal when available, otherwise ear or rib) to rebuild support
• Spreader/batten/alar rim grafts for valve stabilization and improved airflow
• Dorsal profile correction (irregularity smoothing, radix/tip balance)
• Advanced tip work (reorientation, projection/rotation control, definition)
• Soft-tissue management (scar release, pocket preparation, precise redraping)

Challenges & Expectations

Revision surgery is more complex due to scar tissue and reduced native cartilage. Clear planning and realistic expectations are key to success.

• Detailed evaluation with photos and functional assessment
• Possible need for rib or ear cartilage grafts
• Subtle refinements may require staged planning in rare cases
• Final definition evolves over months as swelling settles

Recovery & Aftercare

Most patients return to desk work in 7–10 days, depending on the extent of reconstruction. Swelling can last longer than primary rhinoplasty.

• External splint ~5–7 days; internal splints may be used for valve/septal support
• Bruising/swelling improve over 2–4 weeks; tip refinement continues for months
• Sleep with head elevated; avoid strenuous activity ~3–4 weeks
• Regular follow-ups to monitor healing and airway

Why Müller Medical Clinic?

Our German-led ENT and facial plastic surgery team specializes in complex and revision cases, integrating function and form.

• Airway-first planning with aesthetic harmony
• Extensive experience in secondary and tertiary reconstructions
• Advanced grafting and valve stabilization techniques
• Transparent counseling and meticulous follow-up