What is Secondary Rhinoplasty and When is it Needed?

Rhinoplasty, or nose reshaping surgery, is a popular cosmetic procedure that can enhance facial harmony and improve self-confidence. However, sometimes the results of the initial surgery may not meet the patient's expectations, or complications may arise, necessitating a secondary rhinoplasty (also known as revision rhinoplasty). In this blog post, we will discuss secondary rhinoplasty, its indications, and the expertise of Dr. Shahar in addressing complex cases.

What is Secondary Rhinoplasty and When is it Needed? - Patient waiting for rhinoplasty surgeon to come back with a diagnostic for secondary rhinoplasty (revision rhinoplasty)
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Understanding Secondary Rhinoplasty

Definition of Secondary Rhinoplasty

Secondary rhinoplasty, also known as revision rhinoplasty, refers to a corrective nasal surgery performed after an initial rhinoplasty procedure.

Secondary rhinoplasty, also known as revision rhinoplasty, refers to a corrective nasal surgery performed after an initial rhinoplasty procedure. The goal of secondary rhinoplasty is to address any issues or concerns that have arisen following the first surgery, such as aesthetic dissatisfaction, functional problems, or complications.

Expertise of Dr. Shahar in Secondary Rhinoplasty

Dr. Shahar is a renowned expert in secondary rhinoplasty, having corrected numerous poorly performed rhinoplasties throughout his career. His extensive experience and refined surgical techniques enable him to tackle even the most challenging cases, restoring both form and function to the patient’s nose while delivering natural-looking results.

Indications for Secondary Rhinoplasty

Aesthetic Concerns

One of the most common reasons for seeking secondary rhinoplasty is aesthetic dissatisfaction with the results of the initial surgery. Patients may feel that their new nose does not harmonize with their facial features or that the changes made during the first procedure were too subtle or too drastic. In such cases, secondary rhinoplasty can help refine the nose’s appearance and achieve the patient’s desired outcome.

Functional Issues

Secondary rhinoplasty may also be necessary to address functional problems that arise after the initial surgery, such as breathing difficulties or a persistent deviated septum. These issues can significantly impact the patient’s quality of life and may require revision surgery to correct.

Complications and Healing Problems

In some cases, complications or healing problems may occur following the initial rhinoplasty, necessitating secondary surgery. Examples of such issues include infection, scarring, or the collapse of nasal structures. Secondary rhinoplasty can help address these complications and restore the patient’s nasal function and appearance.

Challenges and Considerations of Secondary Rhinoplasty

Increased Complexity

Secondary rhinoplasty is typically more complex than the initial surgery due to factors such as scarring, altered anatomy, and the need to work around previous surgical changes. As a result, it requires a surgeon with extensive experience and expertise in revision procedures, like Dr. Shahar, to ensure optimal results and minimize the risk of further complications.

Realistic Expectations

It is essential for patients considering secondary rhinoplasty to have realistic expectations about the procedure’s outcome. While the surgery aims to improve the nose’s appearance and function, it may not be able to achieve perfection or fully reverse the results of the initial surgery. Dr. Shahar will thoroughly discuss the patient’s goals and expectations during the consultation process, ensuring they have a clear understanding of what can be achieved with secondary rhinoplasty.

To have a deeper understanding of the benefits of secondary rhinoplasty and come prepared to your free consultation, we invite you to read the following articles:


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Dr. Shahar brings over three decades of experience to his role, making him one of the most reputable plastic surgeons in New York City. Notably, Dr. Shahar is a Board Certified Cosmetic and General Surgeon, offering an exceptional level of expertise and a commitment to achieving natural, harmonious results.


Is revision rhinoplasty dangerous

While all surgical interventions involve certain risks, a secondary rhinoplasty is generally deemed as safe, provided it’s executed by a surgeon with the right experience and skills. This procedure is typically more intricate than a primary rhinoplasty, owing to the possible alterations in the nose’s structure from the initial operation. Factors such as scar tissues, modifications in skin flexibility, and potential changes in the supporting structures of the nose further add to the procedure’s complexity.

Despite these complexities, individuals who aren’t content with the outcomes of their first rhinoplasty or those facing functional difficulties should not be deterred. When performed by a proficient surgeon, risks are significantly reduced, and the outcomes can notably enhance the patient’s aesthetic appearance and functional abilities. It’s essential to select a surgeon proficient in secondary rhinoplasty, as this distinct procedure requires a detailed understanding of the nose’s structure and aesthetics, coupled with a meticulous surgical approach.

In essence, while secondary rhinoplasty might pose a distinctive set of challenges, it isn’t inherently dangerous. A comprehensive consultation, explicit communication about your objectives, and a deep understanding of the process can help ensure a successful procedure and satisfying results.

Secondary Rhinoplasty Cost in NYC

secondary rhinoplasty cost When it comes to the financial aspect of a secondary, or revision, rhinoplasty, it’s crucial to understand that the costs can vary significantly due to several factors. The complexity of the procedure, the surgeon’s expertise, the geographic location, and the specifics of what needs to be corrected from the primary surgery all play a role in determining the cost.

As a general range, you might expect a secondary rhinoplasty to cost anywhere from $5,000 to $15,000 or more in New York City. Keep in mind, this procedure is typically more costly than a primary rhinoplasty. This is largely due to the increased complexity of the operation, requiring the surgeon to navigate alterations from the previous surgery, such as scar tissue and modified anatomical structures.

Moreover, you must consider associated costs such as anesthesia fees, facility costs, and any necessary pre- or post-operative care. It’s worth noting that most insurance companies classify rhinoplasty as a cosmetic procedure and do not typically cover the costs. However, if the surgery is being performed to rectify breathing issues or other functional problems, insurance may cover a portion of the expense.

Always be sure to have a detailed discussion about costs with your surgeon during your consultation.


The Consultation Process

Assessing the Patient’s Needs

During the consultation for secondary rhinoplasty, Dr. Shahar will carefully assess the patient’s concerns and determine the cause of dissatisfaction or complications following the initial surgery. This assessment will include a thorough examination of the patient’s nasal anatomy and a discussion of their goals and expectations for the procedure.

Developing a Customized Treatment Plan

Once Dr. Shahar has assessed the patient’s needs, he will develop a customized treatment plan to address the specific concerns and desired outcomes. This plan will take into account factors such as the patient’s nasal anatomy, the complexity of the case, and the patient’s overall health. By creating a tailored approach to secondary rhinoplasty, Dr. Shahar can ensure the best possible results for each individual patient.


A revision rhinoplasty, or secondary rhinoplasty, follows a procedure similar to a primary rhinoplasty, but with a few notable differences. Given its nature as a corrective measure, it calls for greater surgical finesse and a deeper understanding of nasal anatomy.

The procedure begins with a detailed consultation where the surgeon assesses the results of the primary rhinoplasty, the current condition of the nose, and the patient’s desired outcome. Imaging technology might be employed to provide a clearer picture of the internal nasal structures.

Anesthesia is administered, and then, depending on the complexity and the goals of the procedure, the surgeon will select either an open or closed approach. The open approach involves making an incision on the columella – the small strip of skin between the nostrils, whereas the closed approach consists of incisions inside the nostrils.

The surgeon then meticulously works to correct the issues from the previous surgery. This could involve altering the nasal structure, removing or adding grafts, or reshaping the cartilage. Due to possible changes in the anatomy from the primary surgery, this stage often requires precise planning and execution.

Once the revisions are complete, the incisions are closed and a splint is placed on the nose to help maintain the new shape while it heals. The patient is then taken to a recovery room to be monitored as the anesthesia wears off.

Overall, a revision rhinoplasty procedure is a more nuanced and complex process that requires the hands of an experienced surgeon. Despite these complexities, with proper care, it can provide significant improvements in both form and function of the nose. Secondary rhinoplasty is a corrective procedure designed to address issues or concerns following an initial nose reshaping surgery. Whether the patient is seeking to improve the aesthetic appearance of their nose or correct functional problems, secondary rhinoplasty can offer a solution.

Dr. Shahar’s expertise in secondary rhinoplasty sets him apart as a trusted specialist in the field, capable of delivering exceptional results even in the most challenging cases. With a thorough consultation process and a customized treatment plan, patients can feel confident in their decision to undergo secondary rhinoplasty and achieve the results they desire. Contact Dr. Shahar, your revision rhinoplasty expert, today!


Dr. Yoel Shahar, MD

Artistic Finesse & Expert Technique

Dr. Yoel Shahar has performed thousands of procedures in New York City and Europe over the past 25 years. He specializes in a wide range of procedures such as mini face lift, rhinoplasty, nose surgery, eyelid procedure, temporal lift, fat injection, brow lift ,buccal fat removal, as well as injectable and fillers.

What patients respect most about Dr. Shahar’s cosmetic surgery is that he has their best interests at heart. He will never overcorrect and always recommend a minimum procedure to achieve the outmost natural look.

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Dr. Shahar and his team aim to deliver the best patient support and the most natural looking cosmetic surgery.

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