Revision Rhinoplasty
Austin, TX




Before & Afters

*Each patient is unique and individual results may vary.

The surgeons at The Buckingham Center for Facial Plastic Surgery offer revision rhinoplasty solutions for patients in Austin & Sunset Valley. Our surgeons specialize in facial plastic surgery treatments, including facelifts, eyebrow lifts, chin and cheek augmentation, as well as rhinoplasty procedures. Each of our nose-reshaping surgeons has extensive training and experience in completing primary and secondary (revision) rhinoplasty.

Rhinoplasty has been one of the more popular plastic surgical procedures for many years in the cosmetic surgery industry. This is a favored procedure because it dramatically improves the appearance of the nose and the face. This nose surgery improves the overall symmetry of the features of the face and can drastically improve the patient’s facial profile. Nevertheless, the rhinoplasty procedure is also one of the most complex plastic surgeries. Therefore, to achieve consistent results, the surgeon you choose must have extensive experience performing nose-reshaping procedures. Although unexpected issues can arise during any surgical procedure, selecting an experienced plastic surgeon to perform your rhinoplasty decreases your likelihood of experiencing a complication.

Our surgeons’ rhinoplasty revision rates are very low. However, due to the complexity of nose-reshaping surgery, overall, primary rhinoplasty procedures carry one of the highest revision rates among plastic surgery procedures. Surgical complications or disturbances in the healing process may occur, negatively affecting the expected results. When complications occur, nose-reshaping patients may require a secondary rhinoplasty.


Revision rhinoplasty is a revision or secondary procedure that is designed to improve cosmetic or functional complications of the nose occurring from a previous rhinoplasty.

Patients may need revision rhinoplasty in situations such as the following:

  • Under correction: Under correction during the primary rhinoplasty may leave a slight hump or another issue that requires additional changes.
  • Overcorrection: Overcorrection may require the addition of cartilage grafts to augment the nose correctly.
  • Functional Problems: Functional problems like a deviated septum may require septoplasty or other techniques to resolve a breathing problem resulting from a primary rhinoplasty.

Primary rhinoplasty is a complex and technical operation, and subsequent revision rhinoplasty entails new intricacies requiring delicate and exacting techniques. Scar tissue from the first rhinoplasty complicates the secondary procedure. Our surgeons have experience performing both primary and secondary rhinoplasty procedures. During your consultation, the surgeon carefully examines your nose and discusses the details of your revision rhinoplasty. Our digital imaging software helps patients visualize the changes they request.


A revision rhinoplasty is completed in three to four hours under general anesthesia. During a closed (endonasal) or open surgery, your surgeon can revise the nasal tissue, cartilage and bones. The incisions are created internally in the closed rhinoplasty, and the incisions are placed on the underside of the nose (across the columella) and internally during an open rhinoplasty.

The techniques used during the surgery will depend on the revisions that are needed. The surgeon begins the operation by creating incisions that separate the skin on the nose to reveal the underlying cartilage and bone. Then the surgeon creates the desired shape by repositioning bone and cartilage, any overcorrection is addressed with cartilage grafts. These cartilage grafts are usually created with cartilage from the patient’s nasal septum. However, if a sufficient amount of cartilage is not obtainable from the septum, cartilage may be taken from the ear or rib. After the surgery, the incisions are sutured. Postoperatively, the nose has a small intranasal dressing overnight, but no packing is required. To provide optimal healing and protection, the patient’s nose is covered with a flexible splint.


The revision rhinoplasty stitches and the splint are removed in one week. Bruising, swelling, mild bleeding and discomfort are common. Pain medication is prescribed as needed.

Patients commonly return to work within one week, depending on the job requirements and type of activity involved. Patients must avoid strenuous activity during the first three weeks and any contact to the nose for six weeks. Light activity may be resumed after the first week. Swelling and bruising will fade in the first few weeks, though minor swelling can last for up to a year.


Rhinoplasty is one of the most popular plastic surgeries because of the excellent cosmetic outcomes that men and women can expect. An experienced surgeon who understands the importance of the surgery and the healing process should complete your revision rhinoplasty. Furthermore, the surgeon must be available, remaining by your side throughout your entire revision rhinoplasty process. Following their revision rhinoplasty with a Buckingham Center surgeon, patients can expect to experience cosmetic and functional improvements; these changes should include the revision goals that you and your surgeon discussed during your consultation.


As our surgeon examines your nose, please mention any concerns, frustrations and health problems that you are experiencing from the primary rhinoplasty. After the surgeon reviews your medical history, the doctor discusses which options will meet your needs. Since our surgeons have provided hundreds of rhinoplasty and revision rhinoplasty patients with beautiful, symmetrical and functional results, at The Buckingham Center, you know you are in good hands.

Before and after photos are available. These photos demonstrate our surgeons’ skills in performing revision rhinoplasty procedures. In addition, our 3-D Vectra digital imaging software can help you visualize and adjust your proposed after-surgery profile and facial symmetry. Your nose may require adjustments to improve breathing or to correct an over- or under-correction from your prior rhinoplasty. Your surgeon walks you through the planning process and helps you find a solution that will meet your cosmetic and functioning nasal goals.

Our Patient Care Consultant will assist you with inquiries and will explain payment options that fit most budgets. Our surgeons specialize in rhinoplasty procedures. Therefore, they can answer all of your revision rhinoplasty questions and address your concerns. Please call 512-401-2500 for a consultation.


The ideal revision rhinoplasty patient is in good mental and physical health, has no significant medical problems, and has realistic revision rhinoplasty expectations. Men and women who are currently unsatisfied with the outcome of their primary rhinoplasty may be good candidates for a revision rhinoplasty at Buckingham Center for Facial Plastic Surgery.


Revision rhinoplasty is usually considered to be a cosmetic procedure, which is not covered by medical health insurance. Although at times insurance may cover a portion of the procedure related to breathing as long as that obstruction is not the result of a previous cosmetic procedure. Payment options are available that are designed to fit most budgets. The financial staff at The Buckingham Center in Austin, Texas, is ready to help you achieve the revision rhinoplasty results that you desire.


Call 512-401-2500 to request a consultation with an experienced revision rhinoplasty surgeon at The Buckingham Center for Facial Plastic Surgery in Austin, Texas. We look forward to meeting you!

Frequently Asked Revision Rhinoplasty Questions

What is Revision Rhinoplasty?

A revision rhinoplasty is a secondary treatment that is designed to repair complications of an aesthetic or functional nature after a primary rhinoplasty.

How Soon after my Primary Rhinoplasty Can I Have the Revision?

Our surgeons typically advise patients to wait at least one year after their initial procedure to have a revision rhinoplasty. This delay is necessary because your nose continues healing for the 12 months following nose-reshaping surgery.

Where is the Revision Rhinoplasty Procedure Performed?

Our surgeons complete revision rhinoplasty procedures at an outpatient surgery center in Austin, Texas.

What Type of Anesthesia is Used During Revision Rhinoplasty?

Revision rhinoplasty patients receive general anesthesia.

How is the Revision Rhinoplasty Procedure Performed?

Each revision rhinoplasty surgical method is dependent on the individual’s specific needs. During the procedure, the surgeon separates the skin to reveal the bone and cartilage. Next, if the previous rhinoplasty resulted in an overcorrection or under correction of the cartilage, the surgeon either repositions the cartilage or uses cartilage grafts to restructure the nose. The surgeon may take cartilage from the septum for the graft. If there isn’t enough cartilage available in the septum, the surgeon can harvest cartilage from the ear or a rib. When the revisions are completed, stitches will be used to close the incisions.

Where are the Revision Rhinoplasty Incisions?

Revision rhinoplasty is performed as an open or closed procedure. If the open technique is used, most of the incisions are created inside the nose, with an additional small incision on the underside of the nose. This is the only external incision the surgeon creates. The incision’s location makes it easy for our surgeons to camouflage. When a closed technique is used, the incisions are only created inside the nose.

Will I Have Scars from Revision Rhinoplasty?

The incisions for the closed technique used in revision rhinoplasty are created within the nose and are not visible, which means any scars remain hidden inside the nose. Patients who need the open technique will have a tiny, inconspicuous scar underneath their nose and in between their nostrils. Before and after photos and 3-D Vectra digital imaging software are available to help you visualize the final results.

Is Revision Rhinoplasty Painful?

Most of our patients often report that they experience less pain and discomfort following revision rhinoplasty when compared to their experience after their primary rhinoplasty procedure. There will be bruising, swelling and pain that can be treated with nonprescription or prescription medicine during the initial recovery. The majority of the pain and swelling will dissipate over the first week.

What is the Revision Rhinoplasty Recovery Like?

The recovery after a revision rhinoplasty is frequently somewhat easier for patients than the first rhinoplasty recovery. Although recovery varies from patient to patient depending on the work required, most patients can return to work in one week.

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