Is a Revision Rhinoplasty Painful?

Most patients experience mild to moderate discomfort, which is easily managed with prescribed medications. The sensation is usually more of pressure and congestion rather than sharp pain. Bruising and swelling around the eyes are common but temporary, resolving within the first two weeks. Our team will provide you with detailed aftercare instructions to ensure your comfort during recovery.

How Many Appointments Will I Need?

You can expect multiple visits, including your initial consultation, a preoperative appointment, the surgery itself, and several follow-up appointments. Early follow-ups occur within the first two weeks to monitor healing and remove splints. Additional visits are scheduled at one, three, six, and twelve months to track progress and evaluate long-term results. Complex cases may require additional check-ins for optimal care.

How Long Until I See Results?

While you will notice an immediate change in shape once the splint is removed, swelling will initially obscure your final results. The majority of improvement becomes visible within three to six months, but complete healing and final refinement may take 12–18 months. Revision rhinoplasty often requires more patience than a primary procedure, but the results are absolutely worth the wait.

Can I Combine a Revision Rhinoplasty With Other Procedures?

Yes, revision rhinoplasty can be combined with other facial surgeries, such as chin augmentation, facelift , or eyelid surgery, to achieve a more balanced overall appearance. However, because revision surgery is complex, your surgeon will carefully evaluate whether combining procedures is safe in your case. Some patients may benefit from staging procedures that are performed separately to allow for proper healing.

What Are the Risks Associated With a Revision Rhinoplasty?

Risks include infection, bleeding, scarring, prolonged swelling, breathing difficulties, and asymmetry. There is also a higher chance of needing further correction compared to primary rhinoplasty, due to scar tissue or weakened nasal structures. Choosing an experienced, board-certified surgeon greatly reduces these risks. At Anne Arundel Facial Plastic Surgery, every measure is taken to ensure your safety and deliver a successful outcome.

Annapolis, Maryland

Revision Rhinoplasty

Introduction to Revision Rhinoplasty

While many patients are satisfied with the results of their first rhinoplasty, others may feel that their outcome did not meet their expectations or created new concerns. In some cases, functional problems such as breathing difficulties may persist or even worsen.

Revision rhinoplasty is a highly specialized procedure designed to correct, refine, or restore the nose after previous surgery. At Anne Arundel Facial Plastic Surgery in Annapolis and Severna Park, Maryland, Dr. Brandon Wachal and Dr. Lee Kleiman provide expert revision rhinoplasty for patients seeking a second chance at achieving natural-looking results and improved function.

A surgeon, Dr. Lee, in blue scrubs, a surgical mask, and a headlamp with magnifying loupes, performing a procedure on a patient in a brightly lit operating room.- Revision Rhinoplasty in Severna Park, MD

What is a Revision Rhinoplasty?

Revision rhinoplasty is a corrective surgery performed on patients who have already undergone one or more previous nasal surgeries. Unlike primary rhinoplasty, revision procedures are often more complex due to scar tissue, weakened cartilage, or changes in nasal anatomy resulting from the previous surgery. The goal of revision rhinoplasty may be to restore facial balance, improve nasal contour, correct asymmetry, or resolve persistent breathing issues. This procedure requires advanced surgical skill and a deep understanding of both nasal aesthetics and function.

Who Are the Best Candidates For a Revision Rhinoplasty?

The best candidates are individuals who are dissatisfied with the results of a previous rhinoplasty or who developed new concerns after surgery. You may be an ideal candidate if you:

Have visible asymmetry, irregularities, or deformities from prior surgery
Continue to experience breathing problems despite past procedures
Are in good overall health and are a nonsmoker (or willing to quit before and after surgery)
Have realistic expectations about what revision surgery can achieve
Allow enough time to pass since your last surgery (usually 12–18 months) for swelling to resolve before undergoing revision

Because revision rhinoplasty is more challenging than primary procedures, it’s essential to work with an experienced, board-certified facial plastic surgeon, such as Dr. Brandon Wachal and Dr. Lee Kleiman in Maryland.

What Are the Benefits of a Revision Rhinoplasty?

A well-performed revision rhinoplasty can dramatically improve both the appearance and function of the nose. Benefits may include:

Correction of irregularities or asymmetry caused by prior surgery
Restoration of natural nasal shape and proportions
Improvement in breathing function by addressing internal structural issues
Repair of collapsed nasal valves or weakened cartilage
Enhanced facial balance and harmony
Renewed confidence and peace of mind after a disappointing previous experience

Beyond aesthetics, many patients report a significant improvement in their quality of life, as functional breathing problems are corrected alongside cosmetic refinements.

What’s the First Step?

Your Revision Rhinoplasty Journey with Dr. Wachal

During a consultation at our Maryland offices, Dr. Wachal or Dr. Kleiman will carefully review your surgical history, examine your nasal structure, and address your concerns. They may recommend imaging or digital morphing to show you potential outcomes. This appointment also provides an opportunity to discuss your goals, set realistic expectations, and create a personalized surgical plan tailored to your needs. If you’re ready to proceed, your surgery will be scheduled, and you’ll receive preoperative guidance to prepare for the procedure.

A male doctor, Dr. Washal, wearing a gray suit jacket and white shirt, is seated at a wooden desk while consulting with a female patient. He is holding a tablet displaying before and after images of another patient's facial procedure, pointing to the images with a stylus.

What to Expect on the Day of Revision Rhinoplasty Surgery

Revision rhinoplasty is performed in a Maryland surgical facility under general anesthesia to ensure your comfort. Because the surgery is more complex than a primary rhinoplasty, it typically takes longer, often three to five hours, depending on the extent of correction required. The surgeon may use grafts from the septum, ear, or rib to rebuild or support nasal structures if tissue has been weakened or removed in prior surgeries. Once the desired refinements are complete, a splint is applied to support the nose as it begins to heal. Most patients return home the same day, accompanied by detailed aftercare instructions.

Dr. Lee in a black suit and white shirt consulting with a female patient. The patient is touching her cheek while the doctor looks toward the camera with a slight smile. A mirror and abstract artwork are visible in the background.

Revision Rhinoplasty Recovery

Your Guide to Post-Revision Rhinoplasty Care

Recovery after revision rhinoplasty is similar to that after primary surgery, although healing can take longer due to the presence of scar tissue and the complexity of the procedure. Swelling, bruising, and congestion are common in the first one to two weeks. Splints or dressings are typically removed within 7–10 days, and most patients feel comfortable resuming work or social activities after two weeks. However, swelling may persist for several months, and the final results can take 12 to 18 months to reveal fully. Diligent follow-up care and patience are key to achieving a successful outcome.

How Much Does a Revision Rhinoplasty Cost in Maryland?

The cost of a Revision Rhinoplasty in Annapolis, Severna Park, and the rest of Maryland varies based on the complexity of the procedure, the amount of reconstruction required, and the surgeon’s expertise. In general, revision rhinoplasty is more expensive than primary surgery because it requires additional time, resources, and surgical precision. Functional corrections may be partially covered by insurance, but cosmetic refinements are considered elective. During your consultation, a detailed estimate and financing options will be discussed to make the process more manageable.

Why Choose Us?

A full-length image of two male doctors standing side-by-side in a stylish office or waiting area. Dr. Lee, on the right, is wearing a black suit and white shirt with his arms crossed. The other doctor, Dr. Washal, is on the left, wearing a light gray suit and white shirt with his hands clasped in front of him.

Revision rhinoplasty demands the highest level of surgical expertise and precision. At Anne Arundel Facial Plastic Surgery, Dr. Wachal and Dr. Kleiman bring extensive training and dual board certifications, making them uniquely qualified for these challenging procedures. Their expertise enables them to reconstruct and refine nasal anatomy, delivering natural-looking results with precision. Beyond surgical skill, our practice prioritizes personalized care, compassionate communication, and long-term follow-up to ensure you feel supported throughout the entire process.

Revision Rhinoplasty FAQ’S

Most patients experience mild to moderate discomfort, which is easily managed with prescribed medications. The sensation is usually more of pressure and congestion rather than sharp pain. Bruising and swelling around the eyes are common but temporary, resolving within the first two weeks. Our team will provide you with detailed aftercare instructions to ensure your comfort during recovery.
You can expect multiple visits, including your initial consultation, a preoperative appointment, the surgery itself, and several follow-up appointments. Early follow-ups occur within the first two weeks to monitor healing and remove splints. Additional visits are scheduled at one, three, six, and twelve months to track progress and evaluate long-term results. Complex cases may require additional check-ins for optimal care.
While you will notice an immediate change in shape once the splint is removed, swelling will initially obscure your final results. The majority of improvement becomes visible within three to six months, but complete healing and final refinement may take 12–18 months. Revision rhinoplasty often requires more patience than a primary procedure, but the results are absolutely worth the wait.
Yes, revision rhinoplasty can be combined with other facial surgeries, such as chin augmentation, facelift, or eyelid surgery, to achieve a more balanced overall appearance. However, because revision surgery is complex, your surgeon will carefully evaluate whether combining procedures is safe in your case. Some patients may benefit from staging procedures that are performed separately to allow for proper healing.
Risks include infection, bleeding, scarring, prolonged swelling, breathing difficulties, and asymmetry. There is also a higher chance of needing further correction compared to primary rhinoplasty, due to scar tissue or weakened nasal structures. Choosing an experienced, board-certified surgeon greatly reduces these risks. At Anne Arundel Facial Plastic Surgery, every measure is taken to ensure your safety and deliver a successful outcome.

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Patients

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Dr. Wachal is a blessing to patients seeking facial rejuvenation and natural beauty enhancements.

His state-of-the-art, in-house surgical suite is fully equipped—even for emergencies—helping reduce patient costs without compromising safety or results. The office is immaculately hygienic and designed for comfort and care.

Schedule Your Consultation

If your previous rhinoplasty left you dissatisfied, you don’t have to settle for results that don’t reflect your vision. Schedule your consultation with Dr. Brandon Wachal or Dr. Lee Kleiman at Anne Arundel Facial Plastic Surgery in Annapolis or Severna Park, Maryland, today. With expert revision rhinoplasty, you can achieve a nose that both looks and functions the way it should.

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