Conveniently located to serve San Diego and Murrieta

Double-board-certified facial plastic surgeon Dr. Richard V. Balikian specializes in facial plastic surgery and is highly trained in revision rhinoplasty. He safely and skillfully performs revision rhinoplasty in San Diego, taking the utmost care to deliver results that his patients love.

Rhinoplasty is a cosmetic surgery that alters the shape of the nose to improve your facial symmetry and/or the functionality of your nasal structures. When performed correctly, patients can experience remarkable improvements in their quality of life and their overall facial appearance.

However, if your rhinoplasty was performed by an inexperienced surgeon or a surgeon who did not accurately understand your desired results, a revision rhinoplasty may be necessary to help you achieve your treatment goals.

What Is Revision Rhinoplasty?

This procedure is also called secondary rhinoplasty, can correct both functional and cosmetic issues brought about by an unsuccessful primary rhinoplasty.

Due to the intricacies of the nose shape and how it functions, a surgeon needs a tremendous amount of skill to perform this secondary operation. As a dedicated facial plastic surgeon, Dr. Balikian has the necessary qualifications and experience to help revision rhinoplasty patients attain the functionality and facial harmony they desire.

Good Candidates for Revision Rhinoplasty

Patients who want to correct aesthetic and/or functional problems resulting from a previous nose job would be good candidates for revision rhinoplasty. Patients must be in good health and must avoid smoking and drinking before the date of their procedure.

When to Get Revision Rhinoplasty

Patients should ideally get revision rhinoplasty surgery after waiting for one year after their primary rhinoplasty surgery. This wait is necessary in order to let the nose settle into its final shape. By this time, many issues will have resolved on their own.

The best way to know when to get a revision rhinoplasty is to come in for a consultation from Dr. Balikian.

Your Revision Rhinoplasty Consultation

A consultation with Dr. Balikian is the first step in the revision rhinoplasty process. He will perform an initial assessment of your nose and review any available documentation of your previous surgery. If details regarding your surgery are limited, Dr. Balikian will extensively examine your nose to thoroughly understand what was done and how it can be corrected.

Dr. Balikian will also go over your complete medical history, including all past procedures, pre-existing conditions, allergies, and current medications and supplements. This will help to ensure a safe surgical procedure and will aid in minimizing the chance of complications.

If his evaluation of your primary rhinoplasty results and your medical history indicate that you are a good candidate for the surgery, the next step is to develop your treatment plan.

Dr. Balikian will work with you using computerized imaging to create a visual depiction of the cosmetic result you desire. With this image, and taking into consideration any alterations needed to improve functionality, Dr. Balikian can choose the best surgical approach for your revision rhinoplasty.

The consultation also provides you with the best opportunity to ask questions regarding aspects of the procedure. If you have any concerns about undergoing another surgery again after the complications from the last one, you are encouraged to bring these up during the visit so they can be discussed.

Revision Rhinoplasty Options

Dr. Balikian is meticulous in planning your revision rhinoplasty procedure. The techniques used will depend on the degree of correction required. Dr. Balikian is equally skilled in endonasal (closed) and external (open) rhinoplasty techniques. Open rhinoplasty is most commonly used in revision rhinoplasty due to the high level of precision required.

If adjustments are needed to improve functionality, Dr. Balikian will consider various options for creating a nasal structure that will make it easier for you to breathe. He may recommend septoplasty, strut grafts, spreader grafts, or turbinectomy to achieve optimal results.

Revision Rhinoplasty Recovery

When he has completed your surgery, Dr. Balikian will place a splint over your nose. The splint will secure the new shape of your nose as it heals. He will provide detailed instructions regarding how to care for the treatment site.

During the recovery period, it is essential to take some time off work to rest and relax. This will promote healing and allow you to return to your normal daily activities much faster.

Dr. Balikian does not use packing in the nose during surgery, which eases his patients’ recovery experience. However, some discomfort after surgery is to be expected. It is important to understand that it will take some time for swelling to subside and reveal your final results.

Richard V. Balikian, MD, FACS

Double Board-Certified Facial Plastic Surgeon
Artistry. Excellence. Compassion

Trust Your Face to a Facial Plastic Surgeon

Dr. Balikian is an experienced, double board-certified, facial plastic surgeon. He is double board-certified both in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Balikian belongs to a very select group of elite cosmetic surgeons with at least six years of specialized surgical training exclusively in aesthetic and reconstructive surgery of the face and neck.

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How Much Does a Revision Rhinoplasty Costs?

The total cost of this surgery is determined based on factors like your medical examinations, surgeon’s fee, hospital charges, post-surgery garments, and anesthesia. The exact techniques used will also impact cost, as will the total time needed to perform the surgery.


Contact Us to Arrange a Revision Rhinoplasty Consultation

Given Dr. Balikian’s specialized training in revision rhinoplasty and his dedication to patient safety and satisfaction, you can trust that he will deliver the cosmetic and functional improvements you desire. If you’re interested in learning more about revision rhinoplasty in San Diego, contact our office to schedule your consultation today.

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Beyond Ecstatic with my Results.


Everybody at the facility were so amazing and kind. Dr. Balikian is the best Plastic Surgeon and I honestly don’t think anyone could have done a better job. I use to be so self-con·scious about my nose and hated my side profile and now all I hear is how perfect my nose is. I am beyond ecstatic with my results and no longer care if I’m being stared at.