Revision rhinoplasty occurs when any further surgery is required on a nose to either repair poorly executed surgery, to correct some irregularity from a previous surgery or to hide scars or other surgical marks from a previous rhinoplasty. The important factors guiding revision rhinoplasty are:
1. How the nose looks now
2. What is the problem/irregularity that needs to be addresses/repaired
3. How much scarring is present from previous surgeries
4. The mental state of the patient requesting the revisions, i.e., is he/she an unsatisfiable perfectionist, a surgery junkie, or psychologically unbalanced in any way that is causing an unjustifiable surgical request
5. Is the problem correctable
If all of these factors are in order, then a patient who is not satisfied with her previous rhinoplasty is now requesting a second rhinoplasty from either the same surgeon who performed the primary rhinoplasty or a surgeon who specializes in revision rhinoplasty. A surgeon who specializes in revision rhinoplasty is specially trained in the field and it is important to ask pertinent questions of any surgeon who is offering to do this work for you. While it is rare for a nose to be completely beyond repair, it is important to analyze the patient