Scar tissue
Previous surgery leaves scar tissue that influences the result and may form again. It is one of the factors assessed before considering another procedure.
Dr. Gustavo Suárez · Nose surgery
When the nose has already been operated on, this is called revision rhinoplasty. Dr. Gustavo Suárez assesses the previous surgery, the condition of the tissues and what remains unresolved.
Request a consultation What revision rhinoplasty isThe starting point
When there has already been a rhinoplasty, it is called revision rhinoplasty. The assessment considers the previous operation, the condition of the tissues and the progression of healing.
Reasons for seeking a consultation vary: discomfort that persists after surgery, an irregularity of the dorsum, a crooked nose, a hump that remains, visible scars or difficulty breathing. Dr. Suárez stresses that the nose must have healed completely before a further procedure is considered.
Before the consultation
Revision rhinoplasty requires assessment of the previous result and the difficulties that persist. The surgical history and progress of recovery help prepare for that assessment.
If available, any relevant clinical information about your previous surgery (reports, photographs, etc.). It is not essential.
How recovery and healing progressed after the last procedure. This is one of the factors considered before proposing another.
Shape, breathing or both, as well as any discomfort remaining after the operation.
The questions you want to ask, written down before attending. The options and risks are reviewed during the consultation.
Regular medication, allergies and other treatments. This information forms part of the assessment beforehand.

What is assessed
Dr. Suárez reviews the patient's objectives, medical history and previous procedures. He examines the septum and the structures involved in airflow, including the nasal valves and turbinates.
The assessment does not stop at the nose. It also considers the facial bone structure, lips, chin, neck and eyes, because the whole influences how the nose is perceived. Based on the examination, he explains the options and compares the requested changes with the anatomy.
Meet Dr. SuárezHow reconstruction
Revision rhinoplasty starts with a nose that has already undergone surgery, so the plan depends on what the previous surgery did, what remained unresolved and the condition of the tissues.
Previous surgery leaves scar tissue that influences the result and may form again. It is one of the factors assessed before considering another procedure.
When cartilage is missing or the remaining cartilage has been damaged, grafts may be needed to restore support to the nasal structure.
Revision rhinoplasty also addresses breathing difficulties that persist after the first surgery. The examination determines where the obstruction comes from and whether it is appropriate to treat the septum or the turbinates.
The proposed changes, postoperative care and follow-up are explained before the procedure. This information includes possible complications.
After surgery
Swelling, bruising and a feeling of congestion may be present during the first few weeks. The appearance during those days may still change over the following months.
Returning to work or exercise depends on the procedure, progress during recovery and the type of activity.
Risks include bleeding, infection, changes in scarring and breathing difficulties. The aesthetic result may not match expectations and, in some cases, further surgery may be required.
No surgeon can guarantee the result of revision rhinoplasty.
These risks are exceptional. During the consultation, following medical assessment, they are explained individually according to each patient's characteristics.
Before deciding
Common questions from those who have already had nose surgery once.
It is surgery considered for a nose that has already been operated on. The assessment takes into account the previous operation, the condition of the tissues and the progress of healing.
Primary rhinoplasty starts with a nose that has not undergone surgery. Revision rhinoplasty works on a structure that has already been operated on, with scar tissue and, sometimes, cartilage that is missing or has been damaged. This determines what can be considered. Learn about primary rhinoplasty.
Revision rhinoplasty is less predictable than primary rhinoplasty because it involves tissues that have already undergone surgery. There is some risk of needing a touch-up or of achieving a less than optimal result. The final result also usually takes longer to become apparent. During the consultation, following medical assessment, these risks are explained individually according to each patient's characteristics.
The appearance in the first few weeks may still change over the following months. Scar tissue influences this process and may form again, so progress forms part of follow-up.
Related procedures
Nasal surgery after skin cancer, trauma or structural collapse, to restore shape and function.
Corrects the septum and the external shape of the nose in the same procedure, when the deviation affects breathing and appearance.