Revision Rhinoplasty

Revision Rhinoplasty

Revision Rhinoplasty Vancouver


Revision rhinoplasty, also known as secondary rhinoplasty, is a procedure to revise a previous nasal surgery. Dr. Thomas Buonassisi is a Board Certified Facial Plastic Surgeon at 8 West Cosmetic Surgery & Laser Skin Clinic with over 20 years of experience, and is a highly trained and specialized facial cosmetic surgeon who focuses his practice largely around the nose.


Candidates for Secondary Rhinoplasty


Patients who may be candidates for secondary rhinoplasty:


  • Are realistic in their expectations
  • Understand that the potential complications of rhinoplasty surgery increase with each additional surgery
  • Their nasal framework remains sufficiently intact that it can handle another surgery
  • The amount of scar tissue in the nose is minimal
  • Have not had any nasal surgery within the last year

If you would like to know if you are a candidate for secondary rhinoplasty, please review your consultation options.


How Secondary Rhinoplasty is Performed


Dr. Buonassisi will choose either a closed approach rhinoplasty or open approach to access the underlying nasal framework. The cartilages and bone of the tip and bridge of the nose are then reshaped to improve the cosmetic appearance of the nose.  Once Dr. Buonassisi has access to the nasal features, he chooses from a range of techniques to achieve the desired result. During your surgical consult, Dr. Buonassisi will assess your nasal features, clearly explain the pros and cons of each technique, and recommend the most suiting approach for you. Secondary rhinoplasty surgery typically takes from 1.5 – 3 hours, and patients can return home the same day.


Benefits of Surgery


  • Correction of the nasal features that are bothersome or out of proportion
  • A more attractive nose that is in balance with your other facial features


Physical Features


You may be a candidate for secondary rhinoplasty surgery if you have any of the following physical features:

  • An under corrected hump
  • A low nasal bridge
  • A drooping tip
  • Polly beak deformity
  • Wide nostrils
  • Over or under projected tip

General Health


You may be a candidate for rhinoplasty if you are in general, in good health:

  • You have normal blood pressure
  • You are not taking blood thinners, or your family physician can safely recommend that you stop taking them for two weeks



Most patients describe the recovery period from rhinoplasty surgery to be quite easy. There is typically a small amount of manageable discomfort, and a stuffed up feeling in the nose for the first week or so. It is important not to blow your nose in the first week following surgery. Swelling and bruising is at its worst on day three following surgery, and usually subsides two weeks following surgery. The following information will give you a sense for what kinds of activities are safe during the recovery period.


Time Off Work


  • Most people who work in the public eye take one week off work
  • One week after surgery, some people have perceptible swelling and bruising, which can last for another week or so – signs of bruising can be covered with makeup
  • People who work from home are typically feeling good and are able to be back at their desks one or two days after surgery

Back to Normal Activities

  • You can resume normal activities, such as light household work and taking a gentle stroll, the day after surgery
  • You can resume light fitness activities, such as jogging or yoga, one week after surgery
  • You can resume vigorous fitness activities, such heavy weight training or high impact cardio, two weeks after surgery
  • You should avoid bending over and lifting heavy objects for two weeks after surgery
  • You should avoid sustaining any facial trauma for at least the first year following surgery

Restaurant Ready

  • Once your cast and sutures are removed seven days following surgery, you will typically feel “restaurant ready”, meaning that you would feel comfortable meeting up with friends – however, you will still have some evidence of swelling and light bruising, which can be camouflaged with makeup
  • At the seven day mark, some people have light bruising below the eyes, while other experience no bruising whatsoever

Complete Recovery

  • Most people are feeling quite comfortable being out in public without much evidence of swelling or bruising two weeks after surgery
  • The final results of rhinoplasty can take up to six months – although most of the swelling is typically gone within three months of surgery, some very mild swelling can persist for six months




All surgeries have associated risks. Dr. Buonassisi will review the risks and benefits of the surgery in detail during your surgical consult. In general, complications of rhinoplasty surgery, while not expected, include:

  • Risk of infection
  • Risk of bleeding
  • Risk of poor wound healing
  • Risk of patient dissatisfaction with cosmetic result