Revision Rhinoplasty Surgery in London

What is a revision rhinoplasty?

Revision rhinoplasty, also known as secondary rhinoplasty or re-do nose surgery, is a procedure performed to correct or the outcome of a .

It is one of the most complex operations in facial plastic surgery, as the nasal anatomy has already been altered and may involve scar tissue, cartilage loss, or structural weakness. At , , Consultant Plastic and Reconstructive Surgeon, takes a thorough, methodical, and personalised approach to every revision case.

The goal is always to restore both form and function, a natural result that fits your face, improves shape, and allows you to breathe comfortably.

Common reasons patients consider revision rhinoplasty include:

At Real Plastic Surgery, all revision rhinoplasty patients are under the care of our founder, Mr Naveen Cavale, a Consultant and Reconstructive Surgeon internationally recognised for his expertise in complex nasal reconstruction and secondary rhinoplasty. His reconstructive background ensures every procedure is approached with precision, safety and an understanding of both form and function. Learn more about Mr Cavale’s medical and expertise .

Revision rhinoplasty from £13,250

Schedule a consultation with one of the best rhinoplasty surgeons in London

Before and After

Why Consider Revision Rhinoplasty?

Even when performed with care, a rhinoplasty may sometimes heal unpredictably or fail to meet expectations. 

Common reasons for seeking revision include:

Mr Cavale approaches each rhinoplasty with precision and care, aiming for results that appear natural, well and last a lifetime, so no further revision is required.

Types of Revision Rhinoplasty

Minor refinement small contour irregularities or asymmetry from a previous operation.
Functional revision corrects breathing difficulties due to collapsed nasal valves or septal problems.
Structural reconstruction rebuilds weakened or over-reduced nasal support using cartilage grafts (from the septum, ear, or rib).
Comprehensive rhinoplasty is a full revision addressing both cosmetic and internal issues.

Each case differs in complexity. Mr Cavale will whether an open or closed is most appropriate and discuss any grafting required to achieve long-term stability and refinement. Grafts may be taken from the nasal septum, ear, or rib, depending on how much support is required and what tissue from your first operation. Mr Cavale is increasingly using donor rib cartilage in complex revision cases to provide stronger, more reliable structural support.

Septorhinoplasty in London usually takes two to three hours under general anaesthetic.

Expect about one week off work, longer if swelling or is more visible.

You’ll be up and moving the same day, though expect swelling and congestion for the first week.

Gentle walking is fine after a few days, but strenuous exercise and contact sports should wait six weeks.

Most patients can drive again after one to two weeks, once splints are removed, vision is clear, and you feel comfortable.

You can usually shower after two days, hot water and pressure on the nose.

Healing takes around six weeks, with final results continuing to refine for up to a year.

Results are permanent, though natural ageing may subtly change nasal shape over time.

Septorhinoplasty in London corrects a deviated septum and reshapes the nose to improve and appearance.

in London may not be suitable if you have uncontrolled health conditions, poor healing, or unrealistic expectations.

The Patient Journey: Revision Rhinoplasty

The revision rhinoplasty consultation lasts around 30 minutes and takes place face-to-face with Mr Naveen Cavale at the . Virtual consultations are also for convenience, though an in-person meeting is required before finalising your surgical plan. Book if you’re ready for your consultation.

is often a more complex and procedure, so Mr Cavale encourages patients to take their time, ask questions, and seek advice from both their consultant and their close support network before making a final decision.

After surgery, you’ll need someone to stay with you overnight. Postoperative care includes direct access to our nursing team via WhatsApp or phone, and an in-person review about a week later to remove dressings, splints, and stitches. Most patients return for a six-week check-up, with further reviews arranged as needed. While early improvements are noticeable, final results can take up to six to twelve months to fully settle.

If you have any concerns during recovery, Mr Cavale and the team are always available for reassurance and support.

What to Expect on the Day

Revision rhinoplasty is typically performed under TIVA general anaesthesia (a light, fast-recovery form of anaesthetic), with the lasting a few hours. In most cases, return home the same day.

When you wake up, your nose will be with a small external cast and gentle tape. You may have soft internal packing, but we avoid using firm splints wherever possible, as these can cause unnecessary discomfort. Fine stitches are placed beneath the nose and inside the nostrils; most are dissolvable or are removed within a week. The internal packing is taken out before you go home, while the external cast and remaining stitches are at your one-week review.

You can usually shower the next day, though the face should be kept dry until the dressings are removed. Swelling and mild bruising are normal and will gradually settle over the weeks. For practical guidance during recovery, you can read our detailed article on rhinoplasty recovery tips.

Book a Consultation

Every transformation starts with a conversation. During your at Real Plastic Surgery, we’ll take the time to understand your concerns, assess your goals, and create a treatment plan that’s right for you. Book your consultation today and take the first step towards feeling your best

Frequently Asked Questions

Primary rhinoplasty refers to a patient’s first nose surgery, usually performed to enhance appearance, improve breathing, or both. Revision rhinoplasty, sometimes called secondary rhinoplasty, is carried out to correct or refine the outcome of that earlier operation.

Because the anatomy has already been altered, revision surgery is often more technically demanding. There may be scar tissue, weakened cartilage, or missing structural support. For this reason, revision must be performed by an experienced reconstructive plastic surgeon.

At Real Plastic Surgery, Mr Naveen Cavale combines reconstructive precision with aesthetic understanding to restore natural and function while minimising the risks associated with re-operation.

It’s important to allow your nose enough time to heal completely before considering revision surgery. In most cases, we recommend waiting at least 12 months after your initial rhinoplasty.

During this period, swelling gradually subsides and the tissues stabilise, giving a more accurate picture of your final result. Operating too soon can compromise both healing and outcome. At your consultation, Mr Cavale will carefully assess your healing, discuss your concerns, and guide you on the safest timing for a potential revision. This ensures that any further surgery is well-planned, realistic, and designed around your long-term wellbeing.

Yes, many patients seek revision rhinoplasty because their previous operation affected nasal airflow or created internal collapse. As a Consultant Plastic and Reconstructive Surgeon, Mr Cavale is highly experienced in both the cosmetic and functional aspects of nasal surgery. His approach focuses on restoring normal breathing while also improving appearance, using techniques that rebuild internal support and open the nasal passage.
If you are struggling with congestion, obstruction, or difficulty breathing through your nose, a detailed assessment can help identify the cause and the best way to correct it safely.

Often, yes. Because revision rhinoplasty involves working with previously altered tissue, additional grafts are frequently needed to restore strength, definition, and stability. Grafts may be taken from the nasal septum, ear, or rib, depending on how much support is required and what tissue remains from your first operation — and Mr Cavale is using donor rib in complex revision cases to provide stronger, more reliable structural support.

Mr Cavale will explain the options in detail during your consultation, ensuring you understand the procedure, recovery, and benefits. Using precise reconstructive techniques, the aim is always a durable, natural, and result that both looks and feels right

Every revision rhinoplasty is different, but patients can typically expect an improvement in both nasal function and overall appearance. The goal is not perfection, but harmony — a nose that feels comfortable, fits naturally with your facial features, and restores confidence.

Swelling takes time to settle, and subtle refinements continue for up to 12–18 months after surgery. Mr Cavale follows all patients closely during this period, offering support, reassurance, and further review if needed.
While revision rhinoplasty is complex, in experienced hands it can make a life-changing difference — helping you breathe more easily and feel at ease with your appearance once again.

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