You can’t determine immediately after rhinoplasty whether you have had a botched nose job or not. Because rhinoplasty healing process last up to one year and you should wait during this time until to see the final results of your surgery. Although 90 percent of the nasal swelling subside one to two months after the surgery, there is still some nasal swelling up to one year.

Reasons for a botched nose job

Generally, only about five to ten percent of rhinoplasty surgery fail because of the following reasons:

  • The primary rhinoplasty doesn’t suit the patient’s face
  • It doesn’t improve the functional problems
  • The nose didn’t heal as expected
  • The patient experiences a nasal trauma during the primary rhinoplasty healing time
  • The surgeon didn’t have enough experience for performing surgery
  • The overly aggressive surgery
  • If the surgery was not aggressive enough
  • Poor pre-operative planning
  • Unnecessary or poor use of skin grafts
  • Lack of attention in placing incisions

Revision rhinoplasty for a botched nose job

If you have had a rhinoplasty and you are not satisfied with the results of your surgery or you have breathing difficulty, revision rhinoplasty can be a second chance for you.

Revision rhinoplasty also called secondary rhinoplasty is one of the most technically challenging cosmetic surgery that is performed following the primary nose job which is failed to provide desirable results. It can improve nose appearance as well as breathing functions. Although the risks and complications of revision rhinoplasty are more than the primary nose job but still great results are possible with secondary rhinoplasty.

Revision rhinoplasty can be considered as the most complicated facial plastic surgery even more complicated than primary rhinoplasty. This is a more challenging operation because of the presence of scar tissue of primary surgery, traumatizing the nasal structure, and lack of tissue and cartilage to work with.

Revision rhinoplasty can be performed at least one year after the primary nose surgery. Before performing a secondary nose job, the following items should be considered:

  • What region of the nose needs to be revision and what was the time of prior rhinoplasty? The healing process of prior rhinoplasty takes up to one year. More addition the tip of the nose is the most sensitive part of the nose and patients should wait a full year before undertaking revision rhinoplasty.
  • If the nose needs additional implants or grafts to revise. It should be considered how the nasal anatomy is preserved and how the underlying nasal cartilage is modified.
  • How long the revision rhinoplasty take to heal? Generally, revision rhinoplasty takes longer to heal but some factors such as the amount of work done and the amount of grafts used during the surgery, are important factors that can affect the healing time.

Fleshy nose and botched nose job

Fleshy nose surgery is more sensitive than the other types of the nose because of the thickness of the skin and thickness of the tip cartilage. Patients who have fleshy nose can’t have a sharp nasal tip or fantasy tip after the rhinoplasty, they should have a realistic expectation about the results of their nose surgery. People with fleshy nose have lots of fat tissue that affect the nasal tip rhinoplasty.

Is surgery required to fix a nose job fail?

filler injection

Not all cases need for another surgical operation to fix a nose job fail. Fillers are a temporary option to improve the appearance and treat the minor deformities. If you are not happy with the results of your primary rhinoplasty filler injections can correct the minor irregularities of your nose.

But the best person who can guide you which method is required to fix your nasal irregularities is your surgeon who performed the primary nose job. If you don’t want to contact your primary surgeon it is recommended to see a board-certified surgeon who has experience of performing revision rhinoplasty and is expertise in this field.