While many patients are satisfied with the results of their initial rhinoplasty, others may experience cosmetic or functional concerns that remain unresolved—or even introduced—by their first surgery. Revision rhinoplasty is a more complex procedure that corrects issues from previous nasal surgeries, restoring both appearance and breathing function.
Whether you’re unhappy with the shape, experiencing nasal obstruction or simply not feeling like yourself, Dr. Carolyn Montes offers a refined, individualized revision surgery approach rooted in deep anatomical understanding and aesthetic precision.
Common Reasons for Revision Rhinoplasty
Patients may seek revision rhinoplasty for:
- Asymmetry or irregular contours
- Over- or under-reduction of nasal structures
- A pinched nasal tip or collapsed bridge
- Nasal obstruction or difficulty breathing after surgery
- Visible scarring, bumps, or a twisted appearance
- Poor healing or residual deformities from trauma or infection
In many cases, cartilage grafting (often from the septum, ear or rib) is required to rebuild support structures that were previously removed or weakened.
What Makes Revision Rhinoplasty Different?
Revision rhinoplasty is more technically demanding than primary rhinoplasty due to:
- Altered anatomy and scar tissue
- Limited remaining cartilage or structural support
- Higher expectations and emotional sensitivity around the outcome
With advanced fellowship training in both facial plastic surgery and otolaryngology, Dr. Montes has a comprehensive understanding of nasal structure, function and facial harmony. Her expertise allows her to address both aesthetic concerns and complex airway issues, ensuring a result that looks beautiful and functions naturally.
What To Expect During Surgery and Recovery
Revision rhinoplasty is performed in an accredited surgical facility, typically under general anesthesia. Depending on the complexity of the revision and whether grafting is needed, Dr. Montes will choose an open or closed approach.
Recovery Timeline
- Week 1: Splint removed and initial swelling starts to subside
- Weeks 2–3: Bruising fades and nasal contours become more defined
- 3+ Months: Swelling continues to resolve and breathing improvements are noticeable
- Up to 12 Months: Final results fully settle, especially for detailed tip work or significant grafting
Dr. Montes will guide you closely through each step, providing tailored aftercare and long-term follow-up to ensure optimal healing.
Is Revision Rhinoplasty Right for Me?
You may be a candidate for revision rhinoplasty if:
- You’ve had one or more previous nasal surgeries
- You are experiencing cosmetic dissatisfaction or breathing issues
- It has been at least 12 months since your last rhinoplasty (to allow full healing)
- You are in good health and have realistic expectations
Why Choose Dr. Carolyn Montes?
With fellowship training in facial plastic surgery and extensive experience in complex nasal reconstruction, Dr. Carolyn Montes brings both technical expertise and a compassionate, honest approach to revision rhinoplasty. She works closely with each patient to understand their concerns, restore confidence, and deliver results that look natural—and feel right.
If you’re considering a revision rhinoplasty, schedule a consultation with Dr. Montes to discuss your concerns and explore a path forward toward breathing and aesthetic balance.
Call San Diego ENT at (858) 926-7010 for more information or to schedule an appointment.