Revision Rhinoplasty


Revision rhinoplasty, also known as secondary rhinoplasty, is a surgical procedure performed to address concerns or issues that persist after a primary rhinoplasty or to further refine the nose's appearance. It is a specialized procedure designed to correct and enhance suboptimal results of a previous nose surgery.

Very few plastic surgeons devote their time and effort to revision rhinoplasty, as it requires more operative time and planning, a less predictable post-operative course, higher rate of revision, and is much more technically challenging than primary rhinoplasty.

Dr. Okland is an expert in revision rhinoplasty, and roughly 50% of his rhinoplasty practice are patients who had previous nasal surgery.

What is Revision Rhinoplasty?

Revision rhinoplasty involves surgical techniques to modify the nasal structure and improve its aesthetics and functionality. It is a more complex procedure compared to primary rhinoplasty because it requires working with altered anatomy and scar tissue from previous surgeries.

How does Revision Rhinoplasty work?

The procedure begins with a comprehensive evaluation of the patient's nose, considering the previous surgical modifications and any ongoing concerns. Dr. Okland will discuss the patient's goals and expectations to create a personalized treatment plan.

During revision rhinoplasty, Dr. Okland may address issues such as asymmetry, irregular contours, breathing difficulties, or cosmetic dissatisfaction. This may involve reshaping the bone and cartilage, grafting additional tissue, correcting the septum, or refining the nasal tip.

The surgical techniques used during revision rhinoplasty vary depending on the specific concerns and desired outcomes. The procedure may involve an open or closed approach, depending on the complexity of the case.

What are the Benefits of Revision Rhinoplasty?

Improvement in nasal breathing

The nose may be obstructed for a variety of reasons, including septal deviation, turbinate hypertrophy, or valve stenosis or collapse. Dr. Okland individually tailors his rhinoplasty procedure to correct the specific signature of obstruction for each patient.

Aesthetic enhancement

The procedure can improve the overall appearance of the nose, bringing it into better proportion with other facial features. It can address concerns such as a prominent hump, a crooked nose, a bulbous tip, or wide nostrils, resulting in a more balanced and harmonious facial appearance.

Increased self-confidence

By enhancing the aesthetics of the nose, primary rhinoplasty can boost self-esteem and confidence. When individuals feel more satisfied with their nasal appearance, they may experience improved self-image and a positive impact on their overall well-being.

Correction of nasal deformities

Rhinoplasty can effectively address nasal deformities such as a saddle nose deformity, twisted nose, and/or traumatic injuries, which can cause breathing difficulties. By straightening and aligning the nasal structures, the procedure can improve nasal airflow and alleviate functional issues.

Correcting Unsatisfactory Results

Revision rhinoplasty provides an opportunity to address any unsatisfactory outcomes from the primary rhinoplasty. It can address asymmetry, irregularities, or other concerns to achieve a more balanced and natural-looking nose.

Improved facial symmetry

The nose plays a crucial role in facial symmetry. By addressing any asymmetry or disproportion in the nose, primary rhinoplasty can enhance facial harmony and balance, resulting in a more aesthetically pleasing overall facial appearance.

Procedure Timeline

CONSULTATION: The process begins with an initial consultation with Dr. Okland to discuss patient-specific goals, evaluate the nasal structure, and determine the feasibility of the procedure. For patients with cosmetic concerns, this is an opportunity for the patient and Dr. Okland to identify the ideal nose shape to build on the operative day.

PRE-OPERATIVE PREPARATION: Preparations are made, including obtaining medical clearances, following pre-operative instructions, and discontinuing certain medications or supplements as advised by Dr. Okland.

SURGERY: On the day of the procedure, the patient undergoes surgery under general anesthesia or intravenous sedation. Dr. Okland makes the necessary incisions, reshapes the nasal structures, and performs desired modifications.

RECOVERY: Following the surgery, the patient enters the recovery phase. This involves closely monitoring the patient's healing progress, managing discomfort and swelling, and adhering to post-operative care instructions.

POST-OPERATIVE APPOINTMENTS: Multiple follow-up appointments are scheduled to monitor healing, remove sutures or nasal packing, and assess the progress of the recovery. These appointments occur within the first week, a few weeks later, and several months after the surgery.


Frequently Asked Questions?

Candidates for revision rhinoplasty are individuals who have previously undergone rhinoplasty but are dissatisfied with the results or have experienced functional issues. It is important to have realistic expectations and be in good overall health to undergo the procedure.
Revision rhinoplasty is performed to correct or improve the results of a previous rhinoplasty. It is often more complex due to altered nasal anatomy and scar tissue from the initial surgery.
Like any surgical procedure, revision rhinoplasty carries risks such as bleeding, infection, scarring, changes in sensation, and asymmetry. Revision rhinoplasty also has a higher revision rate than primary rhinoplasty. It is important to discuss these risks with Dr. Okland and follow all pre and post-operative instructions to minimize complications.
The recovery period for revision rhinoplasty can vary depending on the extent of the procedure and individual healing factors. Generally, it takes several months for the initial swelling and bruising to subside. Full recovery and final results may take 1-2 years.
Yes, revision rhinoplasty can address breathing difficulties caused by, or untreated during, previous rhinoplasty surgery. Dr. Okland can correct structural abnormalities, such as a deviated septum or collapsed nasal valves, to improve nasal airflow and functionality.
The location and visibility of scars will depend on the specific techniques used during the surgery. In some cases, incisions may be made internally, resulting in no visible external scars. However, if external incisions are necessary, Dr. Okland strives to make them as inconspicuous as possible.

Why choose Dr. Okland for Revision Rhinoplasty?

Expertise and Experience

Dr. Okland completed training at the most rigorous and prestigious facial plastic and reconstructive surgery programs in the country. Between 2022 and 2023, Dr. Okland performed 370 rhinoplasty procedures – more than one rhinoplasty per day. Because of this experience and expertise, patients have come from all over the country to have rhinoplasty surgery with Dr. Okland.

Personalized Approach

Dr. Okland recognizes that every patient is unique, and he and his team take the time to listen to each patient’s individual concerns, goals, and expectations. We believe in a personalized approach, tailoring the procedure to suit each patient's specific needs, ensuring natural-looking results that enhance facial harmony.

Advanced Techniques

Dr. Okland trained with world-renowned rhinoplasty surgeon Dr. Sam Most at Stanford in residency, as well as the incredible team of Dr. Mark Clymer, Dr. Priyesh Patel, Dr. Shi Yang, and Dr. Scott Stephan at Vanderbilt for fellowship. Because of his diverse training, Dr. Okland brings the most advanced and innovative rhinoplasty techniques with him to the operating room in Denver.

Comprehensive Care

From the initial consultation to the post-operative recovery, we provide comprehensive care to our patients. We guide them through every step of the process, offering clear communication, education, and support. Our aim is to create a comfortable and positive surgical experience for our patients.

Patient Satisfaction

Our team's primary goal is patient satisfaction. We are dedicated to helping our patients achieve their desired nasal aesthetics and functional improvements. Witnessing the positive impact our work has on their self-confidence and overall well-being is incredibly rewarding for us as a team.

Safety and Results

Patient safety is our top priority. We follow stringent safety protocols and standards to ensure the highest level of safety during the procedure. Our collective expertise and meticulous approach to surgery enable us to consistently deliver excellent results that exceed our patients' expectations.

Schedule a Consultation

Fill out the form below to schedule a personalized consultation with rhinoplasty expert Dr. Tyler Okland. During your consultation, we will carefully evaluate your concerns, thoroughly discuss the procedure, and address any questions you may have. Dr. Okland will develop a customized treatment plan tailored specifically to address the unique challenges of revision rhinoplasty.

Take the first step towards achieving improved nasal aesthetics and functionality by scheduling your consultation today. We are dedicated to guiding you through the process and assisting you in achieving the desired results.