Expert Revision Rhinoplasty
- Global expert in primary, revision, and ethnic rhinoplasty procedures.
- Award-winning surgeon, trusted by celebrities, royalty, and international patients.
- Uses advanced piezo techniques and twilight sedation for natural results.
What Is Revision Rhinoplasty and Why Expertise Matters
Revision rhinoplasty, also known as secondary rhinoplasty, is a highly individualised surgical procedure designed to address unsatisfactory results from a previous nose surgery. This may include unresolved breathing problems, irregular contours, structural weaknesses, or cosmetic changes that simply don’t feel right to the patient. Unlike primary rhinoplasty, revision nose surgery must account for internal scarring, altered anatomy, and weakened support structures, making it considerably more complex.
Achieving a natural-looking, functional result in these cases requires a deep understanding of nasal anatomy, advanced surgical skill, and a personalised approach. Dr De Silva is a renowned expert in this field, with extensive experience treating patients from across the UK and abroad. His precision techniques and artistic eye ensure that each procedure is personalised to restore harmony and confidence while prioritising safety, structure, and long-term satisfaction.
Why Patients Seek Secondary Rhinoplasty
Approximately 30% of Dr De Silva’s rhinoplasty patients come to him for revision nose surgery after having undergone a previous procedure elsewhere that did not meet their expectations. When a first surgery fails to deliver the desired outcome, whether functionally or aesthetically, it's essential to choose a surgeon with the expertise to address the complexities of corrective nasal surgery.
Patients often turn to Dr De Silva not only for his technical skill but also for his understanding of the emotional toll a disappointing result can take. Common reasons for seeking nose job revision include:
- Ongoing breathing difficulties or structural collapse that were not resolved, or were caused by the initial surgery
- Cosmetic concerns such as asymmetry, irregular contours, or an overly reduced nasal shape
- Emotional distress and loss of confidence due to results that feel unnatural or simply “not right”
- Visible scarring or poor healing, which may have altered the appearance or function of the nose
Dr De Silva offers a compassionate, solution-focused approach for patients who are seeking not just correction, but peace of mind.
Revision Rhinoplasty Before & After Gallery
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Common Challenges With Revision Rhinoplasty Surgery
Structurally, the nose is one of the most intricate areas of the face, and once surgery has been performed, each patient presents with different anatomical changes and scarring. The extent of scarring depends on factors such as the previous surgical technique, the original surgeon, the patient’s ethnicity, genetics, and healing response. A successful outcome depends not only on the extent of the changes needed but also on truly understanding the patient’s goals and concerns.
Common concerns include:
- Tip issues: pinching, asymmetry, or under-projection
- Bridge irregularities: polly beak, saddle deformity, residual bumps, or a wide nasal roof
- Nostril problems: flaring, collapse, or asymmetry
- Overall proportion: nose appearing too short or too long
- Breathing difficulties
Many of these issues are minor and correctable, though healing responses vary. Each revision nose surgery case requires a bespoke plan to restore both form and function with precision.
Worried About Further Surgery After a Difficult Rhinoplasty Recovery?
Many of our patients feel understandably anxious about revision nose surgery, especially after a disappointing result from their first procedure. Dr De Silva takes the time to have thorough, honest discussions about further treatment options, recovery expectations, and the emotional support available throughout the process. Our goal is to provide the best possible experience and build long-term relationships with our patients, offering continued care and guidance for years to come.
Why Choose Dr. De Silva for Revision Rhinoplasty?
- London’s Harley Street has long been recognised as a global centre for medical excellence, combining cutting-edge facilities with rigorous safety standards and internationally respected specialists. Dr De Silva is widely regarded as a leading authority in revision rhinoplasty in this renowned setting.
- Over 30% of Dr De Silva’s rhinoplasty patients seek his expertise following previous surgery elsewhere, often to correct both functional and cosmetic concerns. Known for delivering natural, refined results, he has treated patients from across the globe who travel specifically for his specialist care.
- A respected voice in the field, Dr De Silva has authored numerous book chapters and scientific publications on rhinoplasty and revision techniques. In 2017, he published A Complete Guide to Nose Surgery and Rhinoplasty, offering insights into both the art and science behind successful nasal surgery.
- Patients trust Dr De Silva not only for his technical skill but also for his personalised approach to complex cases, making him a sought-after expert in revision nose surgery in London and beyond.
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Discover the Surgical Techniques Unique to Nose Job Revision
Revision nose surgery is a more complex procedure with the presence of scarring and a change in the natural anatomy, and often requires additional specialist techniques to improve the aesthetic result. For many patients, Dr De Silva uses combination techniques, including cheek implant surgery, chin augmentation, and skin resurfacing, to enhance the results.
Secondary rhinoplasty surgery is an outpatient procedure and can take between three to four hours. The surgery takes approximately 30-50% longer than a primary rhinoplasty.
- Often with revision surgery, anatomy is weakened, and graft material (cartilage) is required to improve the nose shape and structure.
- When patients have had too much tissue removed, there can be a deformity and compromise of the structural integrity of the nose. These cases will require a tissue graft of cartilage or bone from donor sites such as the ear, temple, or ribs.
- Dr De Silva prefers to harvest cartilage from your nose (septum) if possible. However, in many cases, this is not an option, as it may have already been harvested in the original procedure. When this is the case, Dr De Silva may use ear or rib cartilage. He prefers not to use the patient’s rib cartilage due to the scar it leaves behind, as well as potential risks such as injury to the lung or chest. Instead, Dr De Silva obtains irradiated rib cartilage from a rib bank in the US and has the flown in specially for each patient. Rib cartilage is a safe option that works well to support or add to areas of collapse. It works particularly well as a source of support for the nasal bridge, which requires a long, straighter graft. No graft material is perfect, and the potential downsides of cartilage grafts are reabsorption of the graft or warping.
- Simpler cases will remove some excess tissue or cartilage that was missed in the first surgery. There are also cases of straightening out a crooked nose, and the most complicated cases will require a complete overhaul of the nose.
- Many patients come to Dr De Silva hoping to improve their breathing after a previous surgery that didn’t fully resolve their concerns. Understanding breathing difficulties requires a careful, in-person assessment, as photographs and scans alone can’t capture the full picture. For some, additional tests like a CT (computerised tomography) scan may be needed to identify the root cause and help create a personalised plan to restore both comfort and function.
Can Revision Rhinoplasty Always Be Completed?
Dr De Silva is committed to achieving excellent results and will only recommend surgery if he believes it can realistically meet your expectations. If he feels that further nose correction surgery may not provide the desired outcome, he will advise you honestly and with your best interests in mind. To ensure a thorough understanding of your case, some patients are asked to provide their medical history and photographs of their nose before consultation, allowing us to offer the most informed and personalised advice.
What to Expect During Recovery After Revision Rhinoplasty
Recovery from nose job revision can take a little longer than a first-time procedure due to extra swelling and scar tissue. To help speed up healing and reduce discomfort, Dr De Silva uses specialised anti-inflammatory treatments and is a pioneer in regenerative medicine in the UK, offering patients the best possible support throughout their recovery journey.
Risks of Revision Rhinoplasty
Secondary rhinoplasty is a technically demanding procedure and, like all surgeries, carries some risk. While most patients experience safe and successful outcomes, it's important to be aware of potential complications, especially given the presence of scar tissue from previous surgery.
Potential Risks Include:
- Breathing difficulties may persist or worsen
- Irregularities in nasal shape or contour
- Prolonged swelling or delayed healing
- Scar tissue formation affects results
- Graft movement or resorption
- 2 words that fit on one line
Book a Personalised Revision Rhinoplasty Consultation
Take the first step towards feeling more confident in your appearance and breathing, choose nose correction surgery by Dr De Silva.
Schedule a one-to-one consultation with Dr De Silva to discuss your concerns and explore your treatment options.
FAQ
Dr De Silva only provides patients with sincere information on results from revision surgery, and a minority of patients he advises against surgery. Although most patients’ symptoms can be improved substantially, it is important to discuss realistic expectations, as the previous scarring cannot be reversed, only improved. A small proportion of patients may require two procedures.