Revision Rhinoplasty to Restore Form & Function
Dr. Balikian is a facial plastic surgery specialist with advanced expertise in revision rhinoplasty, delivering safe, precise results his patients love.
Expert Revision Rhinoplasty to Restore Facial Elegance
Rhinoplasty is a delicate and highly customized procedure that reshapes the nose to enhance facial harmony and, when needed, improve nasal function. When performed successfully, it can significantly improve both appearance and quality of life.
However, when a rhinoplasty is performed by an inexperienced surgeon, or when the results do not align with the patient’s goals, a revision rhinoplasty may be necessary to correct cosmetic or functional issues.
What Is Revision Rhinoplasty?
Also known as secondary rhinoplasty, this procedure is designed to improve the outcome of a previous nose surgery. It may address concerns such as asymmetry, breathing difficulties, or dissatisfaction with the nasal shape or structure.
Revision rhinoplasty is significantly more complex than primary rhinoplasty and requires exceptional precision, planning, and technical skill. Dr. Richard Balikian is double board-certified in Facial Plastic & Reconstructive Surgery and Otolaryngology – Head & Neck Surgery, giving him advanced expertise in both the aesthetics and function of the nose. His specialized training makes him uniquely qualified to handle complex revision cases with care and precision.
When to Consider Revision Rhinoplasty
Patients should typically wait at least 12 months after their initial rhinoplasty before undergoing revision surgery. This time allows the nasal tissues to fully heal and settle into their final form, many minor irregularities resolve on their own during this period.
If concerns remain, Dr. Balikian will evaluate your case in a detailed consultation and help determine the best course of action.
Your Options with Dr. Balikian
Dr. Balikian approaches each revision rhinoplasty with a meticulous, personalized strategy. Depending on the complexity of your case, he may use either a closed (endonasal) or, more commonly, an open (external) technique, which allows greater visibility and precision in reshaping the nasal structure.
If functional issues are involved, such as difficulty breathing, Dr. Balikian may incorporate procedures like:
- Septoplasty
- Spreader grafts
- Strut grafts
- Turbinectomy
These corrections can be seamlessly integrated with cosmetic improvements to deliver both form and function in a single surgery.
Real Journeys, Real Results
Recovery After Revision Rhinoplasty
Once your surgery is complete, a nasal splint will be placed to protect and support your new structure as it heals. Dr. Balikian does not use nasal packing, which makes the recovery process more comfortable for patients.
Some swelling, bruising, and mild discomfort are expected after surgery. Dr. Balikian will provide detailed aftercare instructions to ensure a safe, smooth recovery. Most patients should take time off from work and avoid strenuous activity for at least one week.
Full healing may take several months, with final results continuing to refine over the course of a year.
Leading the Way in Rapid Recovery
To help his patients heal faster and more comfortably, Dr. Balikian is one of the few facial plastic surgeons to offer ELIXIR MD™, an FDA-cleared light therapy system that reduces post-surgical swelling and bruising.
This advanced technology uses targeted wavelengths of light to accelerate tissue healing, especially valuable in revision cases where scar tissue and inflammation can be more pronounced. By integrating ELIXIR MD™ into his post-operative care, Dr. Balikian helps patients recover more quickly, with less discomfort and greater confidence in their results.
Dr. Balikian recently treated a patient who was just seven days out from a revision rhinoplasty and already experiencing a dramatically smoother recovery. After her fourth yellow light session, she reported minimal pain, almost no bruising, and unexpectedly soft skin.
Compared to her previous surgical experience, the difference was night and day. She shared that she not only felt physically better, but more supported throughout the process, crediting both Dr. Balikian’s technique and the ELIXIR MD™ protocol for her exceptional recovery.
In revision cases where scar tissue and inflammation can be more pronounced, this treatment is especially valuable. By incorporating ELIXIR MD™ into his post-operative care, Dr. Balikian helps patients recover more quickly, with less discomfort and greater confidence in their results.
Am I a Good Candidate for Revision Rhinoplasty?
You may be a candidate for revision rhinoplasty if:
- You’re unhappy with the appearance or function of your nose following a previous rhinoplasty
- You’re in good general health
- You’re a non-smoker or willing to stop smoking during the healing period
- You’ve allowed at least 12 months of healing since your last nose surgery
If these criteria apply to you, a consultation with Dr. Balikian can help determine the best path forward to achieve the refined, functional results you deserve.
Your Consultation with Dr. Balikian
Your revision journey begins with a comprehensive consultation. Dr. Balikian will examine your nasal structure, review your medical history, and evaluate documentation (if available) from your previous surgery. If past records are limited, he will conduct a thorough assessment to determine what corrections are needed.
He’ll also review:
- Past procedures and complications
- Pre-existing conditions, medications, and allergies
- Your aesthetic goals and functional concerns
Using advanced computerized imaging, Dr. Balikian will help you visualize your desired outcome. This allows you to collaboratively refine your goals and understand what’s realistically achievable through revision rhinoplasty.
The consultation is also your opportunity to ask questions and share any concerns about undergoing surgery again. Dr. Balikian is committed to transparency, education, and support, ensuring you feel informed and confident about your decision.
Trust Your Face to a Facial Plastic Surgeon
Dr. Richard Balikian is a highly respected facial plastic surgeon serving the San Diego area.
With over 20 years of experience and double board certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery, Dr. Balikian offers a unique combination of technical expertise and artistic vision.
He is part of an elite group of surgeons with extensive training focused exclusively on the face and neck.
Stories of Transformation
“Both my husband and I met with Dr Balikian. He was very friendly and personable and took his time listening to our concerns. He was honest about what he thought was best for both of us. Getting plastic surgery is not an easy decision so we knew how important it was to choose the right doctor. We both felt safe and confident in his experience and look forward to a positive outcome.”
“The minute you walk in their office you are greeted and made feel comfortable. The consultation was very through and informative. Questions were answered in very concise manner. The consult started with an intake nurse , then the Doctor who ask me what I was looking for and he explained the procedures clearly. And then the overview of financial matters. I have done a lot of research on my behalf and I am very pleased with my experience at the this office. Looking forward to working with them.”
“From the moment I met Dr. Balikian and his staff they had fantastic bed side manner. And I felt comfortable and trusted them with my care. Everything they had explained to me about my procedures went totally as planned with no surprises and I have been so pleased with the outcome. Thank You All for making me feel years younger and not look tired all the time.”
“I was a little apprehensive about the procedures primarily because I had seen some of the same procedures on male celebrities and did not like their results. I liked how Dr. Balakian explained everything to me at the consultation. I decided to move forward with the surgery and I am very happy with the results. I didn’t know what to expect but people are telling me that I look a little younger and refreshed. I was told the change is very subtle and not a drastic change.”
“From reception to surgery to post procedure, the staff and Dr. Balikian were helpful, organized, and able to answer my questions and concerns. I personally have worked in surgical settings for over 20 years, and I can confidently state, Dr. Balikian, his staff, and nurses are both professional and personable, and would recommend them to others seeking to enhance themselves.”
“Dr. Balikian was very professional yet personal and caring at the same time. It didn’t take me long to have full confidence I would be in good hands for my surgery. Erin was most friendly, thorough and patient which made reviewing my treatment plan and scheduling much more straightforward. I am looking forward to my surgery and ultimately restoring the confidence that left me years ago.”
Revision Rhinoplasty FAQs
What is revision rhinoplasty?
Revision rhinoplasty is a corrective nose surgery performed to address concerns after a previous rhinoplasty. It can improve nasal appearance, restore proper function, or both, often requiring more advanced surgical techniques than primary rhinoplasty.
Why do people seek revision rhinoplasty?
Common reasons include breathing difficulties, dissatisfaction with appearance, asymmetry, or collapse of nasal structures. Some patients also seek refinement after an overly aggressive or unnatural-looking result from a prior surgery.
How is revision rhinoplasty different from a first-time (primary) rhinoplasty?
Revision rhinoplasty is often more complex due to scar tissue, altered anatomy, or loss of structural support. It typically requires advanced surgical skill, cartilage grafting, and a highly individualized approach.
Am I a good candidate for revision rhinoplasty?
Good candidates are in overall good health, have realistic expectations, and are at least 12 months out from their initial rhinoplasty to ensure complete healing. If you’re experiencing functional issues or aesthetic concerns, a consultation will help determine the best path forward.
Where is cartilage taken from for grafting?
Cartilage used in revision rhinoplasty may come from the nasal septum (if available), the ear (auricular cartilage), or the rib. These grafts provide structure and support for reshaping the nose.
What is recovery like after revision rhinoplasty?
Recovery is similar to a primary rhinoplasty but may involve more swelling and a longer healing period. Most patients return to light activity within 1–2 weeks, with full results continuing to develop over 6–12 months.
Will I have visible scars?
Most revision rhinoplasties are performed using the open approach, with a small incision across the columella (the tissue between the nostrils). This scar typically heals well and becomes barely visible over time.
Can revision rhinoplasty fix breathing problems?
Yes. If your previous surgery caused or failed to correct structural issues, revision rhinoplasty can restore proper nasal airflow and improve breathing by repairing the internal nasal framework.
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
