Revision Rhinoplasty
The goal of Revision Rhinoplasty is to help you obtain the nose that you want.
Revision Rhinoplasty relies on the same 3 principles as a primary Rhinoplasty. Engineering, Mathematical proportions and Shape/Appearance (the way you want the nose to look). The important difference is that cartilage grafting is often required to re-build the foundations of the nose before re-shaping.
Patients present for Revision Rhinoplasty because they are unhappy with the current state of the nose for either functional (breathing) or aesthetic (appearance) issues.
Dr Jack Zoumaras as a specialist Rhinoplasty surgeon has performed numerous revision rhinoplasty, secondary, tertiary and even quaternary revisions. He leads a team of associate plastic surgeons at Artiste Plastic Surgery to assess and operate on your Nose. Rhinoplasty has a high revision rate (10%) in comparison to other elective aesthetic procedures so it is important to go to someone who is experienced in Rhinoplasty surgery.
Rhinoplasty as a blend of science, medicine and engineering must be appreciated for all it is and occasionally the skin does not heal well and the cartilage shifts despite the best efforts of securing it. This is the reason Rhinoplasty has a higher revision rate than other aesthetic procedures.
Technique
Revision Rhinoplasty is essentially the same procedure as a Primary Rhinoplasty with the important caveat of adding cartilage grafts to the nose. The cartilage grafts are not there to make the nose larger but to support its foundations, they give structural support to the nose prior to adjusting the nose for aesthetic and functional breathing reasons.
The Revision Rhinoplasty is a reconstruction of the components of the nose. These components are the upper, middle and lower thirds. They include and are not limited to the following grafts:
Spreader grafts, septal extension grafts, columella struts, batten grafts and alar grafts.
Once these grafts are in place the foundation of the nose is restored and the shape can now be adjusted with primary Rhinoplasty techniques.
The nose can be narrowed, the tip lifted, the nose shortened or lengthened and the projection and rotation of the tip adjusted.
Rib Costal Cartilage
Rib Allograft
A new exciting product has been made available in Australia and that is allograft. It is a donated cartilage graft from a cadaver that has gone through all the regulatory approvals. This enables patients to choose between allograft or their own graft. Using allograft is ‘off the shelf’ cartilage and you don’t have an incision on your chest wall and the procedure can be 30-45 minutes faster.
Septal and Ear Cartilage Grafts
When a small amount of cartilage graft is required for a revision the septum can still be harvested. Some patients may have had an older style rhinoplasty where a septoplasty was not performed. These patients still have enough septum for reconstruction of the nose during revision.
When a small amount of cartilage is required the ear cartilage can be harvested. The concha of each ear can be harvested. The ear cartilage lacks structural strength so is only used as onlay grafts or grafts that don’t require structural strength and changing the structure of the nose.
Adult Content: The following patients have given consent and are representative only. Results do not guarantee that you will have the same result.
Revision Rhinoplasty Sydney at Artiste Plastic Surgery
There is perhaps no facial feature as defining – or as emotionally significant – as the nose. It balances the face, expresses identity, and, when in harmony, quietly supports every other feature. For those who have already undergone nasal surgery and are unhappy with the finished look, the impact can be more than skin deep. Whether it’s because of aesthetic dissatisfaction, breathing difficulties, or surgical complications, choosing to undergo a rhinoplasty revision is a bold and brave step towards the restoration of your confidence, comfort, and self-image. Read More
At Artiste Plastic Surgery, we specialise in the complex and deeply personal nature of nose job revision. Led by renowned facial plastic surgeon Dr. Jack Zoumaras, our practice combines surgical precision with artistic vision to provide the highest standard of nasal revision in Australia.
Rhinoplasty revision, sometimes called secondary rhinoplasty, is a procedure designed to correct or refine the results of a previous nose surgery. It is among the most technically challenging procedures in facial plastic surgery and requires a delicate balance of aesthetics and function.
Unlike primary rhinoplasty, revision surgery has to navigate altered anatomy, scar tissue, and potential loss of structural support. It often involves rebuilding part of the nose, rather than simply reshaping, making the need for expertise and experience critical.
Dr. Zoumaras has completed advanced fellowship training in both aesthetic and reconstructive facial surgery across the United States and Europe. At Artiste, revision rhinoplasty is approached with the nuance and care it demands – each case is meticulously studied, and each solution is custom-designed.
The Most Trusted Revision Rhinoplasty Specialist Sydney Has to Offer
The reasons patients seek revision rhinoplasty are highly individual. Common concerns include:
- Residual bumps or asymmetry from a previous surgery.
- Over-reduction of cartilage or bone that creates a ‘scooped’ or collapsed appearance.
- Nasal tip deformities such as drooping, pinching, or bulbous tips.
- Breathing difficulties due to internal valve collapse or poor structural collapse.
- Twisted or deviated appearance that follows trauma or poor healing.
- Emotional distress or loss of confidence due to a disappointing surgical outcome.
Whether the issues are functional, cosmetic, or both, patients often come to us looking for a specialist surgeon who will listen, understand, and restore their trust in the process.
A Bespoke Approach to Complicated Beauty
No two noses are the same – and no two revision surgeries are, either. That’s why the foundation of every rhinoplasty revision at Artiste begins with a comprehensive consultation. Dr. Zoumaras takes the time to assess not just the visible outcome, but also the underlying anatomy, previous surgical techniques used, scar tissue formation, and nasal airway function.
With advanced imaging, facial analysis, and clear communication, he ensures patients understand what is realistically achievable – and how it will be done. In some cases, cartilage grafting may be required to reconstruct the nasal framework. This cartilage is often taken from the nasal septum, ear, or rib, depending on the extent of support needed. Every surgical plan is carefully crafted to enhance both form and function, with the ultimate goal being a nose that feels natural, looks harmonious, and breathes with ease.
Dr. Zoumaras is known for his refined, conservative approach to rhinoplasty. He avoids trends, exaggerations, and artificial angles in favour of timeless, proportionate results that enhance the individual
– not mask them. In revision cases, this means correcting past mistakes without overcompensating.
Patients often describe the experience at Artiste as empowering – an opportunity to reclaim their original vision, with the guidance of a trusted expert who genuinely understands the emotional and physical layers of revision surgery.
Your Nose Job Revision Journey Begins Here
If you have previously undergone rhinoplasty and feel your results don’t align with your expectations, know that you’re not alone – and that there is a path forward.
Whether you’re looking for improved function, or enhanced symmetry, a rhinoplasty revision at Artiste can help you rediscover the beauty of your natural self.
Book a consultation with Dr. Zoumaras today and take the first step towards a better version of you.
Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons. Any statements on how you will feel is based on Level V Evidence: Level V: How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery. The blogs/posts are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship. Read Less
PROCEdURE SNAPSHOT
3-5hr procedure
1 day or night in hospital
2 weeks unsociable​
Qualified facelift plastic surgeon:
- World-trained Dr Jack Zoumaras
- Qualified Anaesthetist, Accredited hospital
Results: Tip adjustment, dorsal kyphosis treatment, improve breathing, straighten nose.
Investment in yourself
Rhinoplasty has risks that include breathing issues, asymmetry of the tip or dorsum and more
You will feel:
Model featured in photography
FAQs
A Non surgical rhinoplasty involves placing injections either side of a nasal kyphosis to give the illusion that the nose is straight.
Augmentation Rhinoplasty with silicone (alloplastic or allograft) or with your own cartilage (autograft) can be used to augment the nasal dorsum and increase its projection and width and length. In Asian noses (with lower dorsums) this may westernise the nose.
Your air entry will be assessed when having a Rhinoplasty and if necessary your breathing addressed. A septoplasty and turbinoplasty can be performed as part of your Rhinoplasty to improve breathing (functional rhinoplasty).
A subtle tip rhinoplasty or removal of bone/cartilage (dorsal kyphosis) from your nose is possible without changing the overall shape or projection. Your nose may also be straightened. If all you want is a small change then your nose will not look different.
Our Rhinoplasty experienced specialist Plastic Surgeons led by Dr Jack Zoumaras will ensure that your nose surgery is tailored to what you want.
Yes closed Rhinoplasty is offered at our practice. This is often combined with a preservation approach to rhinoplasty which is distinct from an open structure procedure.
Yes a tip Rhinoplasty is possible. The lower lateral cartilages can be changed from boxy or bulbous (Rhinoplasty names) to anatomically more convergent.
A Rhinoplasty will be uncomfortable for the first two days and then improve. After this your nose will feel heavy and congested like you have a head cold. Symptoms improve after 5 days and most of our patients do not take any pain medication after 7 days.
Our surgeons spend up to an hour during the first consultation to assess your nose and make recommendations. A further follow up consultation is organised to make sure we are on the same page. Medicine and Surgery is not black and white and following your surgery if you are unhappy with your nose we can discuss a secondary procedure or revision. It is important to note that the revision rate for Rhinoplasty is 10% worldwide.
Your nose will be well supported with your own cartilage during the surgery so it is not going to be damaged if you bump your nose once it is healed at 6 weeks. We have had many of our patients knock their nose after a Rhinoplasty (especially if they have toddlers, or from accidental contact at a workplace) and there has been no issue. If you do bump your nose however, we advise you to attend a follow up appointment so we can assess the nose ASAP.
In the first week after your Rhinoplasty a splint is used to protect the nose and it is then advised to avoid contact for 6 weeks as the nose is healing.
You can go for short walks after 7 days and then jog for the next two weeks followed by running after 4 weeks. After 4 weeks you may go back to light physical exercise (hydraulic weights preferable). Any high impact classes or F45 classes, you need to wait between 8-12 weeks based on your individual recommendations.
A Rhinoplasty will take two weeks for recovery. Most of our patients return to work or university after two weeks.
A Rhinoplasty can be done as Day or Overnight surgery, depending on each case and individual. The expected downtime is 14 days.
Everybody would love to know the cost of a Rhinoplasty before embarking on surgery, but this is difficult to ascertain, much like it is to get a quote on renovating your kitchen without a builder or designer measuring the dimensions of your kitchen and then asking what appliances and materials that you would like. For a Rhinoplasty the many variables include breathing issues, revision surgery, and if anything needs to be done to the alar and tip of the nose. These are technical factors that must be taken into consideration. Other factors include health insurance, possible medicare rebates and the certain nuances with one's nose.
Dr Jack Zoumaras at Artiste Plastic Surgery, leads a team of Speicalist Plastic Surgeons to perform your Rhinoplasty Surgeon .
The guideline investment for Rhinoplasty is $18-25k for the surgical fee alone. Hospital and anaesthetic fees are in addition.
Rhinoplasty is commonly combined with other procedures such as eyelid surgery, facelift surgery, and chin implants.
As with any surgery, there are some risks involved with rhinoplasty. Some potential complications include:
- Infection
- Bleeding
- Bruising
- Difficulty breathing
- Scarring
- Poor wound healing
- Skin discoloration
Rhinoplasty is surgery. Patients should be prepared knowing that results are not immediate. The recovery process following surgery can take up to one year before all residual swelling subsides. However, once full results are achieved, patients can expect results to be permanent.
It is important that patients are in good health, do not have any serious medical conditions or illnesses, and have realistic expectations.
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