What is Secondary Rhinoplasty?

Dr. Philip J. Miller is a renowned NYC secondary rhinoplasty surgeon who has helped countless patients from all walks of life overcome the pain and emotional devastation of failed nose jobs.

What Is A Secondary Rhinoplasty?

Secondary rhinoplasty, also referred to as revision rhinoplasty, is the term used to describe a patient’s need to have an additional nose job procedure to correct defects caused by a previous rhinoplasty surgery or to fix problems not addressed initially . It also refers to patients who request additional revisions to a previous nose job due to changes in the nose caused by aging and other external factors.

Approximately 10% – 15% of nose job patients request a secondary rhinoplasty at some point.

Dr. Miller is a leading expert in the field of secondary rhinoplasty. He has twenty years experience identify and addressing the specialized needs of secondary rhinoplasty patients. He understands that requiring additional surgeries to correct previous nose job procedures is an emotionally challenging time. He also recognizes the challenges of performing additional procedures on weakened or damaged nasal structures.

These unique challenges demand that a patient requiring secondary rhinoplasty selects a surgeon with extensive experience in this type of procedure.

Why Does A Rhinoplasty Fail?

While the majority of nose jobs performed each year result in happy patients and impeccable final results, no cosmetic surgery procedure can ever be 100% guaranteed. Many factors can impact final results, including:

• Poor pre operative assessment
• Poor selection of surgical techniques
• Poor execution of proper surgical techniques
• Unrealistic Expectations.
• Poor post operative care
• Poor patient after-care.

Some of these errors are caused by the surgeon’s basic inexperience in performing nose jobs. Rhinoplasty requires specialized skill and knowledge to create ideal results, and many plastic surgeons – while board certified and skilled with other parts of the body – don’t have the experience to perform a good nose job.

What Happens When A Nose Job Fails?

Patients who find themselves with results that are unexpected or undesired, face a host of possible issues.

  • Loss Of Surgeon Trust

The psychological effects of a failed nose job can be severe. Patients often lose complete trust in plastic surgeons and plastic surgery itself, making it difficult to even consider revision rhinoplasty. This is why it is critical to only discuss secondary rhinoplasty with a qualified facial plastic surgeon that specializes in revision nose jobs.

  • Damaged Nasal Structure

Failed nose jobs usually result in excessive scar tissue and may even severely damage the nasal cartilage itself, leaving the remaining nasal structure in an extremely fragile state. This makes subsequent rhinoplasty procedures more technically and aesthetically difficult, and is why many surgeons refuse to perform secondary rhinoplasty procedures.

  • Loss of Self-Esteem

When a discerning patient opts for a nose job and the results don’t turn out as expected, or even make the appearance worse, it often has devastating consequences. Self-esteem and confidence plummet and negatively impacts all aspects of the patient’s life.

When secondary rhinoplasty is required, it is imperative that a patient select a facial plastic surgeon highly experienced in secondary nose jobs. Because of the potential for existing structural damage from the previous procedure (or procedures), secondary rhinoplasty is one of the most difficult facial plastic surgery procedures to perform. Success requires a facial plastic surgeon highly skilled and experienced in working on previously treated noses.

When it comes to secondary rhinoplasty, Dr. Miller is a leader in his field. His extensive facial surgery experience, meticulous attention to detail, and compassion for patients facing such revision surgeries are the reasons patients travel from around the world to have him perform their secondary rhinoplasty procedures. He takes the time to perform a thorough evaluation and his recommendations are conservative. The most important aspect of the revision rhinoplasty surgery consult is setting realistic expectations and coming to a unified vision of the goal.

What Are The Benefits Of Revision Rhinoplasty?

For patients suffering from a failed nose job, secondary rhinoplasty can provide many benefits.

  • Better Health

In some cases, a failed nose job results in breathing difficulties that cause other issues such as interrupted sleep patterns. Poor sleep has a negative impact on all aspects of a patient’s life. With secondary rhinoplasty, a patient can alleviate any structural abnormalities caused by the first nose job, and return to a healthier, more normal breathing state.

  • Comfortable Breathing

Botched nose jobs sometimes result in obstructed nasal passages that result in labored nasal breathing. Secondary rhinoplasty can often correct these structural issues.

  • Improved Self-Confidence

When a nose job doesn’t provide expected improvements, a patient’s self-esteem can plummet even lower than before the surgery. Trust in the surgeon is destroyed. By seeking out secondary rhinoplasty with a skilled facial plastic surgeon, a patient can reclaim the self-confidence they deserve.

Are There Any Special Concerns With Secondary Rhinoplasty?

When surgery is performed on any part of your body, scar tissue is formed. The nasal cavity is no different. After an initial rhinoplasty procedure, the nasal tissue becomes thicker and more difficult to work with. For this reason, secondary rhinoplasty procedures are much more difficult than performing the same procedure on a virgin nose.

The difficulty and precision required are why many plastic surgeons will not perform secondary rhinoplasty procedures. It takes a surgeon with specialized skill and experience to successfully perform subsequent nose job procedures. Dr. Miller is a leading expert in secondary rhinoplasty.

No less important are the emotional ramifications that come with the need for secondary rhinoplasty. Patients who undergo the rigors and long recovery of nose job surgery had high expectations for the finished result. When these results fail to meet expectations – or worse, when the results are worse than the original condition – patients can be devastated. Dr. Miller has helped many patients overcome this emotional devastation by performing secondary rhinoplasty surgeries that provide exceptional results.

Am I A Candidate For Secondary Rhinoplasty?

If you had a nose job and are not happy with the final results, you may be a candidate for secondary rhinoplasty. To determine whether secondary rhinoplasty is right for you, a consultation with Dr. Miller is the first step.

During this consultation, Dr. Miller will review your medical history and conduct a full examination of your nose to determine the changes that can safely and effectively be made. He will carefully study the changes created by your previous nose job and confirm that the nose can withstand an additional surgery.


Common Nose Shapes3D RhinoplastySeptoplasty Turbinate Reduction TreatmentRevision Nose JobBest Facelift Procedure