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Revision Rhinoplasty | My Beauty Protocol

Revision Rhinoplasty

Secondary Rhinoplasty

The simple version: Secondary Nasal Reconstruction

Also known asAutologous Septal Cartilage GraftAutologous Ear (Conchal) Cartilage GraftAutologous Rib (Costal) Cartilage Graft

Educational info only, not medical advice. Ask a qualified provider. Disclaimer · Terms

This advanced procedure addresses aesthetic and functional concerns from previous rhinoplasty, carefully navigating scar tissue and altered anatomy for refined outcomes.

Downtime: 2 weeks
Sessions: 1
Pain: High
Cost per visit: Price level 5 of 5
Results last: Permanent

A second nose surgery to fix the look or breathing after an earlier one.

Check first: Unrealistic expectations.

Will it work for me?

What people use it for

Tap one to see how it helps.

Skin types to ask about first

Oily or CongestedAsk first

Thick, oily nose skin can stay swollen longer and show fine changes less. Ask your surgeon what to expect.

Breakout-proneAsk first

Active breakouts near the cut can raise the risk of infection. Tell your surgeon about acne and any acne medicine.

How do the types differ?

In no special order. Ask your provider which one fits you, and why.

4 types

Other options

OMNIPORE Surgical ImplantsImplant
Constructed from porous high-density polyethylene (HDPE), designed for tissue integration to secure the implant.
Surgiform PureForm ePTFE ImplantsImplant
An ePTFE implant with tiny pores that let some tissue grow in.
Implantech Silicone Facial ImplantsImplant
A solid silicone implant; tissue doesn't grow into it, so removal is easier.

Ask your provider

Which one do you use, and why that one for me?
What is the total price, and what does it include?
What side effects do you see most with it, and what do you do about them?

Before and after your visit

Plan it around your lifeMakeup, sun, workouts — see what fits around your treatment.

The visit

Duration: 2–7 hours
Total course: One surgical session.

What to expect, and what to avoid

Recovery

About 2 weeks

Avoid sun

1 week

No makeup

1 week

No sweat or heat

6 weeks

Other aftercare

Don't blow your nose for several weeks
Sleep with your head raised
No glasses resting on your nose

Your provider may give you different timing.

Day by day

Before your visit: ask when to start
- Have a detailed consultation to align on realistic goals.
- Arrange a ride home and someone to help you for 24–48 hours
- Get medical clearance and lab tests first
4 weeks before
Stop smoking for 4 weeks before
2 weeks before
Stop aspirin, ibuprofen, fish oil and vitamin E for 2 weeks before, if your doctor agrees
After your visit
- No glasses resting on your nose for 4–6 weeks
- Keep your head raised day and night for 1 week
- No hard exercise or heavy lifting for 4–6 weeks
- Take your medicines as prescribed
- No aspirin, ibuprofen, fish oil or vitamin E for 2 weeks, if your doctor agrees
- Use a cold pack for swelling
- Go to all follow-up visits
- Initial recovery includes a nasal splint or packing for about a week. Expect significant bruising and swelling, particularly around the eyes, peaking within days and gradually subsiding over 2-3 weeks. While most swelling resolves in a few months, the final, refined result typically takes at least a year, or sometimes longer, as tissues fully settle.

Side effects, and who should wait

Who may want to think twice

Unrealistic expectations
Body Dysmorphic Disorder (BDD)
Active nasal infections
Poor general health
Smoking (interferes with healing)
Use of blood-thinning medications or supplements
Certain bleeding disorders

Possible side effects

Common

Prolonged swelling and bruising
Nasal obstruction/difficulty breathing
Numbness
Minor bleeding
Asymmetry during healing
Scarring

Less common

Infection
A hole in the nasal septum (septal perforation)
Significant bleeding
Adverse reaction to anesthesia
Skin necrosis (tissue death)
Persistent dissatisfaction requiring further surgery

Your own risks may differ. Ask a qualified provider.

How it works, and common myths

Surgeons meticulously reshape existing nasal structures and often utilize cartilage grafts to correct imperfections and restore function.

A little more technical

A surgeon makes incisions (either inside the nose or across the skin between the nostrils) to access and reshape the bone and cartilage, often using cartilage grafts from your septum, ear, or rib to rebuild and support the nasal structure.

Secondary rhinoplasty involves surgical modification of the nasal framework (bone, cartilage) and soft tissue envelope. Techniques often include septoplasty, osteotomies, and the use of autologous cartilage grafts (from the septum, ear, or rib) or, less commonly, alloplastic implants to restore structural support, correct deformities, and improve nasal function. The procedure is complicated by post-surgical fibrosis and altered anatomical planes from the primary surgery.

Mechanism category: Structural Cartilage Grafting; Harvesting healthy, strong cartilage from the patient's own rib or ear to rebuild the missing structural support in a collapsed nose.
Delivery method: Scar Tissue Navigation; The surgeon delicately dissects through dense, unpredictable scar tissue from the previous botched surgery to restore both breathing function and aesthetics.
Common device / product names: Autologous Septal Cartilage Graft · Autologous Ear (Conchal) Cartilage Graft · Autologous Rib (Costal) Cartilage Graft · Alloplastic Implants (e.g., Silicone, Medpor) · OMNIPORE Surgical Implants · MEDPOR Porous Polyethylene Implants
Clinical descriptor: Secondary Rhinoplasty
Permanence / longevity: Permanent