Revision Rhinoplasty

Conveniently located to serve the areas of Newport Beach and Orange County, CA

revision rhinoplasty san diego

Revision rhinoplasty is performed to correct the results from a previous rhinoplasty, or nose job. After an initial rhinoplasty, patients can find themselves still experiencing the functional or cosmetic issues that they hoped to resolve, or they may find themselves with a new set of problems. The prospect of yet another surgery and recovery can be discouraging, but in the hands of an experienced plastic surgeon, patients can finally find relief and results. If you’re experiencing trouble breathing, other respiratory symptoms, or are concerned by new or lingering nasal deformities, you may be a good candidate for revision rhinoplasty. Dr. Wael Kouli is a cosmetic surgeon with extensive experience in facial procedures. As a leading medical aesthetic expert in Orange County, patients frequently seek his expertise to resolve issues arising from rhinoplasties performed by other surgeons. His commitment to patient care and compassionate approach to revision surgery puts patients at ease and allows them to finally achieve the stunning results they deserve. If you’re dissatisfied with the results of your nasal surgery, you don’t have to live with regret. Schedule a personal consultation at Esthetica in Newport Beach to learn more about what you can do to start feeling and looking your very best.

Call (949) 721-1113 or fill out our convenient online contact form to get started and book your appointment with Dr. Kouli.   

About Rhinoplasty

Rhinoplasty, or as it is commonly known, a “nose job” is one of the most frequently performed aesthetic surgeries worldwide. However, despite the high frequency at which this procedure occurs, it’s also considered one of the most difficult surgeries to undertake. (1) The nose performs several important functions, and as such, it’s composed of a complex assortment of tissue that scientists are still exploring today. Did you know that the human nose contains at least 8 different muscles? (2) The structure of the nose is also made of bone, cartilage, and fat, all of which varies in size and position for each individual. The thickness of the skin and other soft tissues also varies from patient to patient. This can make it extremely difficult to design a surgical approach with completely predictable results. As such, rhinoplasties have one of the highest revision rates of all plastic surgeries, and studies estimate that around 20% of all rhinoplasties require revision surgery. (3) 

No doubt, this is also due to the nose’s central location on the face. There’s simply no hiding a nose, and countless studies have documented the psychological impact this dissatisfaction can produce. And, if your rhinoplasty has left you with trouble breathing, you can find that this impacts other aspects of your physical health.

Common Reasons for Revision Rhinoplasty

As with any surgical procedure, choosing a qualified surgeon is essential. But even in the best of hands, the complexity of the nose, the individual’s unique anatomy and goals, and the tenuous healing process can lead to undesirable results following a primary rhinoplasty.

  • Persistent breathing problems, or the development of new respiratory issues
  • Results that have been damaged by subsequent injury
  • Asymmetry
  • Malpositioned or visible cartilage graft
  • Tip irregularities or collapse
  • Prominent or over-corrected dorsum, or nasal bridge
  • Other cosmetic concerns, such as proportional balance with the rest of the facial features

Is a Revision Rhinoplasty Right For Me?

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If the results of your rhinoplasty are causing you distress, there’s no reason not to explore your options. At Esthetica Center for Cosmetic Surgery Dr, Kouli meets with prospective revision rhinoplasty patients to ensure that the appropriate approach can be safely undertaken, and concerns can be resolved. The results from a primary rhinoplasty can take up to a year to become visible. As a result, Dr. Kouli stresses that patients wait to pursue a revision surgery until they are fully healed. 

Your Personal Consultation

During your personal consultation, you’ll have the opportunity to meet with Dr. Kouli and discuss the results you’d like to achieve. He’ll review the surgical notes from your primary rhinoplasty and examine your nose. As he does so, he’ll pay special attention to any structural deficits and evaluate the amount of scar tissue present. Once he’s identified the cause of your dissatisfaction and identified the reasons for the failure of your surgery, he’ll be able to suggest the best course of action. Dr. Kouli makes a point to ensure that his patients understand the details of the surgical process and the risks involved so that they can make a confident decision about proceeding. He and his staff will also provide you with personalized instructions on how to best prepare for your revision. To schedule your consultation and learn more, call Esthetica at (949) 721-1113.


On the day of your surgery, you’ll have the chance to meet with Dr. Kouli and review the details of your procedure. Esthetica features a fully accredited private operating facility, where your revision procedure will take place. Your anesthesiologist will administer general anesthesia, and once it’s taken effect, Dr. Kouli and his team will begin. Every patient has unique nasal anatomy and concerns, so Dr. Kouli’s surgical approach to revision rhinoplasty is tailored to the needs of each patient.


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The recovery process from your revision rhinoplasty will be similar to the recovery from your primary surgery. After your surgery is complete, your nose will be dressed with bandages, gauze, and a nasal splint. You’ll be monitored until the effects of the anesthesia have subsided, and released to your designated caregiver, who will need to drive you home. In the first few days of your recovery, you’ll return to Esthetica so that Dr. Kouli can monitor your progress, and eventually remove your nasal splint. Bruising, swelling, and nasal congestion are to be expected, but you’ll be given the resources necessary to safely manage these symptoms. The recovery period is a crucial time for the success of any surgery. However, given the complex nature of rhinoplasty, and the delicacy required to perform this corrective surgery, adhering to your post-operative instructions is of paramount importance.

As with the recovery from your primary rhinoplasty, it’s important to be mindful of the following:

  • Taking care to sneeze with an open mouth, and refraining from blowing your nose
  • Using care when washing
  • Sleeping in an elevated position on your back
  • Wearing contact lenses rather than glasses, and avoiding any pressure on the bridge of your nose
  • Avoiding strenuous activity for at least one month


As the next couple of weeks pass, you will begin to notice the swelling go down. The bruising will subside and you will begin to see your long-awaited results. As with your original rhinoplasty, most swelling will subside in the next six months, with your final, long-lasting results visible within a year. Once the final traces of swelling have subsided, you will be able to enjoy a nose with dramatically improved function, and an appearance that harmonizes with the rest of your face. To get a better sense of the transformative results that Esthetica patients enjoy, take a look at our reviews page.

How Much Does a Rhinoplasty Revision Cost in Newport Beach?

Revision rhinoplasties are performed to address a variety of functional and aesthetic concerns. Dr. Kouli’s approach to your revision surgery will be tailored to your unique anatomy and the issues that you’d like to address. He’ll be able to determine the details of your procedure during a personal consultation, afterwhich we’ll be able to give you an accurate estimate for the final cost of your revision rhinoplasty. 


How soon can I get a rhinoplasty revision if I don’t like the results of my nose job?

Because it can take many months for the residual swelling from a primary rhinoplasty to subside, it’s important that your final results are visible before considering a revision rhinoplasty. It’s recommended to wait at least a year after an initial rhinoplasty to pursue a revision surgery.

What if the doctor removed too much tissue and my nose is too small?

Revision rhinoplasties often utilize cartilage grafts. These can be taken from other discreet areas of the patient’s body, such as the ribs, or behind the ear.  

I’ve already had a revision rhinoplasty and I’m still not happy with my nose. Can I get another revision rhinoplasty?

Unfortunately, some patients will require multiple surgeries to repair their nose. Your surgeon’s chief aim will be to ensure that your nose remains functional and that the structure of the nose remains in place. Your cosmetic surgeon will be able to assess the viability of additional nasal surgeries after reviewing the notes from your original procedures and examining your nose.


  1. Fichman, M., & Piedra Buena, I. T. (2020). Rhinoplasty. PubMed; StatPearls Publishing. 
  2. Anderson, K. J., Henneberg, M., & Norris, R. M. (2008). Anatomy of the nasal profile. Journal of Anatomy, 213(2), 210–216.
  3. BUSSI, M., PALONTA, F., & TOMA, S. (2013). Grafting in revision rhinoplasty. Acta Otorhinolaryngologica Italica, 33(3), 183–189.
  4. Davis, R. E., (2016, May 24). Revision Rhinoplasty. Ento Key.