Revision rhinoplasty is a highly specialized procedure designed to correct or refine aesthetic
or functional concerns resulting from a previous nose job surgery.
Double board-certified facial plastic surgeon Dr. Nicholas Karter specializes in complex revision rhinoplasty at our Wethersfield, Connecticut, practice to give you a second chance at achieving your ideal nose.
Unlike primary rhinoplasty, which focuses on initial reshaping to enhance facial harmony, revision rhinoplasty requires advanced techniques to address structural challenges, scar tissue, and other unique complications. This surgery is always more complex than primary rhinoplasty and requires the skill, experience, and precision of an experienced facial plastic surgeon.
Why Choose Revision Rhinoplasty?
Balancing form with function – Careful attention is directed to correcting structural issues and breathing concerns while enhancing nasal appearance.
Better results – A well-executed revision rhinoplasty creates more balance in your facial features and improves overall aesthetics and self-confidence.
Lasting improvement – While you may be tempted to seek out a short-term fix such as liquid rhinoplasty, revision rhinoplasty offers the only true “lifetime” solution for improving nasal function and appearance.
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Understanding the Challenging Nature of Revision Rhinoplasty
Revision rhinoplasty is a highly complex procedure due to the unique anatomical considerations of a previously operated-on nose. Revision surgery typically involves challenges such as altered bone and cartilage, the presence of grafts, and the effects of scar tissue.
The original nasal framework may also have been modified or weakened, requiring careful reconstruction to restore both form and function. Additionally, existing grafts—whether from the patient’s own tissue or synthetic materials—must be assessed and, in some cases, repositioned or replaced to achieve optimal results.
Unlike a first-time nose job, revision rhinoplasty typically requires:
Longer surgery times due to the complexity of correcting previous alterations
Patience—final results usually take longer to achieve
Realistic expectations, as some structural limitations may impact the extent of achievable changes
Despite these challenges, a well-executed revision rhinoplasty significantly improves the nose’s aesthetics and functionality, creating a more balanced, structurally sound, and natural-looking result. Due to the complex nature of the procedure, it’s essential to choose a board-certified facial plastic surgeon to perform revision rhinoplasty. Dr. Karter has performed countless revision nose jobs and is honest and transparent about potential limitations or risks related to your results.
Meet Dr. Nicholas Karter
Dr. Karter is fellowship-trained, double board-certified facial plastic surgeon known for his exceptional results and patient-first philosophy. Learn what sets him apart below:
The procedure is usually performed under general anesthesia and can take several hours, depending on the extent of correction required. Reshaping the nose may require advanced techniques such as cutting and repositioning bone, removing bone and cartilage, adding grafts for structural support, and meticulously aligning the nasal tip. Dr. Karter personalizes your revision rhinoplasty to address your unique aesthetic and functional concerns and fulfill your aesthetic vision.
From Consultation to Confidence: Your Personalized Surgical Experience
From your first conversation with our team to your one-on-one time with Dr. Karter, we provide a concierge-level experience tailored to your needs.
Complimentary Phone Consultation
Start with a free one-on-one call with Erin, our patient care coordinator. She’ll listen to your concerns, discuss treatment options, and go over important details like technique, recovery, and cost considerations. If we feel like the right fit for you, she will schedule your in-person consultation with Dr. Karter.
Comprehensive In-Person Consultation
During your visit, Dr. Karter will examine your facial anatomy and explore your surgical options in-depth. He will walk you through the details of a deep plane facelift, discuss what to expect after surgery, and create a customized plan based on your goals.
Simple & Seamless Scheduling
When you are ready to move forward, we will coordinate every detail with the surgical center and anesthesia team. We recommend bringing your calendar to your appointment so you can choose your ideal date. A fully refundable 20% deposit is all that is needed to secure your surgery.
Presurgical Preparation & Support
We make sure that you are 100% prepared for your procedure. You will receive a comprehensive recovery kit with everything you need for postoperative care, have presurgical photos taken, and review all necessary consent forms and instructions.
Comprehensive Postoperative Care
We see patients several times throughout their recovery to ensure optimal healing and results. As part of our commitment to exceptional postsurgical care, we also provide laser resurfacing treatments to refine incision lines and support smoother scar healing.
Direct Access to Dr. Karter
Dr. Karter is personally invested in your experience and results. As part of his commitment to your comfort and well-being, he provides you with his personal cell phone number so you always have a direct line to your surgeon when you need it.
Your Revision Rhinoplasty Recovery
Revision rhinoplasty tends to have a similar healing course to primary rhinoplasty, but full results typically take longer to achieve. Our caring team provides close monitoring and support throughout your healing journey.
Predictable downtime – Most patients take about 2 weeks off from school, work, or social engagements while swelling and bruising subside. By the 2-week mark, your nose should appear natural and refined, with no apparent signs of surgery.
Comfortable recovery – The procedure is generally well-tolerated, with most patients managing any discomfort using Tylenol and ibuprofen alone. We can prescribe a stronger medicine in rare cases where more relief is needed.
Comprehensive follow-ups – Dr. Karter closely monitors your progress with follow-ups 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year after surgery. These check-ins allow for personalized guidance and ensure the best possible results.
Gradual, long-term results – Your final revision rhinoplasty results can take 18 months to 2 years to emerge, but most patients find that (finally) achieving the nose they envisioned is well worth the wait.
Postsurgical swelling takes longer to resolve after a revision rhinoplasty versus rhinoplasty because of the extent of scar tissue created during the primary rhinoplasty.
A Reputation Built on Results
Dr. Karter is very personable, knowledgeable, friendly, and professional. Great experience with great results!
I had a great experience with Dr. Karter for my Botox treatment. I was very nervous but he made me feel completely at ease. He explained everything to me in great detail and even offered multiple products...
I don't even know where to begin. Dr. Karter along with Erin, the Patient Care Coordinator have changed my life. I have always been self conscious of my eyelids and under eyes for as long as I can remember....
Incredible Surgeon and Wonderful Experience
I highly recommend Dr. Karter. Not only is he an incredible surgeon but my experience with all his office staff has been wonderful.
I am just under 3 months...
Because revision rhinoplasty is all about perfecting your nose and enhancing overall facial appearance, some patients opt for additional procedures to achieve their ideal look:
At Karter Advanced Facial Plastic Surgery, revision rhinoplasty costs are always tailored to the individual. Once we understand your needs better, we can give you an initial quote during your free phone consultation. We also accept financing through CareCredit® and can help you plan for your investment in long-lasting facial rejuvenation.
Is a revision rhinoplasty more risky than a primary rhinoplasty?
While the surgical risks of the two procedures are essentially the same, revision rhinoplasty surgery is more challenging and complex. The procedure may have some limitations that a primary rhinoplasty does not. We review the potential limitations and risks in detail with patients before proceeding with the procedure.
Is revision rhinoplasty more painful than primary rhinoplasty?
No, any discomfort after surgery is similar for both procedures. It’s common to experience some soreness or pressure in the nasal region during the first few days of healing. However, most patients find they can easily manage any discomfort with over-the-counter pain medications.
When should you have revision rhinoplasty?
Most facial plastic surgeons recommend waiting at least a year after your initial rhinoplasty before considering a revision rhinoplasty. This allows swelling to go down and any other irregularities to potentially resolve before seeking a “second chance” for surgery.
Request Your Complimentary Consultation
If you’re ready to explore your rhinoplasty options with a top facial plastic surgeon in Connecticut, we invite you to request a consultation online or call Karter Advanced Facial Plastic Surgery at
(860) 775-5595 to get started today.
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