Revision Rhinoplasty

Revision Rhinoplasty


Nasal reshaping surgery (rhinoplasty, “nose job”) is an intricate, multifaceted procedure that requires meticulous attention to detail and the ability to assess how small changes to the nasal structure will impact the patient’s facial symmetry and proportions. Even under ideal circumstances, the potential for post-rhinoplasty cosmetic and/or functional complications to develop is very real—and the risk of these complications is magnified when the procedure is performed by a plastic surgeon without specialized training in facial surgery.


Patients are motivated to undergo Revision Rhinoplasty for a number of diverse reasons—some patients feel that their primary surgeon did not bring their aesthetic goals to fruition, while others are left with structural breathing complications or facial asymmetry resulting from improper rhinoplasty techniques utilized during the initial surgery. Many of our Revision Rhinoplasty patients request Dr. Saadat’s assistance to address and resolve one or more of the potential rhinoplasty complications listed below:

  • The size of the nose appears disproportionate to the adjacent facial features, thus skewing the balance and symmetry of the entire face
  • The nasal shape appears misaligned, or has an unnatural shape
  • The primary rhinoplasty surgeon employed standardized, archaic surgical techniques, causing a build-up of nasal scar tissue that distorted the final outcome, resulting in a “botched nose job”
  • The patient is experiencing unexpected breathing problems after their surgery

At the Beverly Hills Aesthetic Surgical Institute, with convenient office locations in Beverly Hills, Valencia, and Santa Clarita, California, Triple-Board Certified Facial Plastic and Reconstructive surgeon Dr. D. David Saadat has mastered the subtly nuanced techniques essential to achieving optimal rhinoplasty outcomes, and is often called upon to perform a secondary (or tertiary) nasal reshaping surgery known as Revision Rhinoplasty with the goal of correcting any structural or cosmetic problems stemming from unsuccessful rhinoplasty surgery performed elsewhere.


When performing Revision Rhinoplasty, surgeons are faced with a multitude of challenges, because until the surgery has commenced it is impossible to ascertain the degree of residual scarring left over from the primary rhinoplasty, or to determine the structural integrity of the supporting nasal structures. Missing pieces of the nasal structural framework and the development of post-surgical scar tissue are two of the main reasons why revision rhinoplasty is often a lengthier and more complicated surgery than a primary rhinoplasty.

Fortunately, Dr. Saadat has the artistic vision and the surgical skill necessary to adapt to any unforeseen challenges during the procedure, and has the experience to masterfully handle any complications that may arise. He avoids “one size fits all” standardized rhinoplasty approaches, instead, choosing to perform comprehensive patient consultations to determine why the previous rhinoplasty was unsuccessful and to prevent similar mistakes while producing results you are completely satisfied with.

The exact surgical techniques involved in a Revision Rhinoplasty surgery can vary significantly among patients because every individual has a unique nasal structure and specific cosmetic/functional nasal reshaping goals that must be taken into consideration. In addition to renovating the existing structural framework of the nose, Revision Rhinoplasty surgery often involves a cartilage graft, which entails harvesting cartilage from the rib (or another site on the patient’s own body) to support the structural integrity of the newly shaped nose.

In some cases, Dr. Saadat may elect to perform external valve reconstruction to reinforce and reshape the cartilage that keeps the nostril open from the side. This rhinoplasty protocol is ideally suited for patients whose original rhinoplasty surgeon removed too much nasal cartilage, causing damage to the structural integrity of the nose and rendering the cartilage too weak to maintain the nostril opening. Other patients may benefit from maxillary, a Revision Rhinoplasty technique that is appropriate when the boney anatomy of the nasal aperture is too narrow and is obstructing the patient’s breathing. Although the exact procedures vary from patient to patient, Dr. Saadat consistently selects the least invasive surgical techniques possible. He opts for methods that require minimal cartilage removal and focuses his energy on the existing cartilage to camouflage any cosmetic malformations and repair any structural defects.

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