Michigan Revision Rhinoplasty | Ann Arbor Plastic Surgery

Revision Rhinoplasty

Michigan's Best Revision Rhinoplasty

Precision Nose Job Repair

Do you need a rhinoplasty re-do? Patients who need additional nasal refinements after their initial nose job need a specialized procedure called revision rhinoplasty.

Revision nose surgeries are more complicated than first-time procedures because of scar tissue and changes to the structure of the nose that occur during rhinoplasty. Dr. Pramit Malhotra is board-certified in both plastic surgery and otolaryngology (ears, nose, and throat), making him an ideal surgeon for this delicate procedure.

If you need revision rhinoplasty in Michigan, contact Ann Arbor Plastic Surgery for a consultation with our nasal surgery surgeon specialist today at (734) 436-2186.

Revision Rhinoplasty: Insider Tips from the Surgeons at Ann Arbor Plastic Surgery

  • Malhotra understands that most patients are scared of having another nasal surgery procedure. Often they have gone to surgeons that don’t specialize in rhinoplasty.  Many patients follow our social media feeds to feel more comfortable with our surgical process.
  • Many surgeons consider rhinoplasty the most difficult procedure in plastic surgery. Revision rhinoplasty is arguably even more challenging because it involves changing what a previous surgeon did.
  • Nasal surgeries have a reputation for persistent swelling. We typically ask revision rhinoplasty patients to wait for at least a year after their initial rhinoplasty before considering reoperation. This wait gives the nose time to fully heal before surgery and ensures that residual swelling has time to resolve.
  • Bring in pictures of revision rhinoplasty cases so you can discuss what you do and don’t like.

What Is Revision Rhinoplasty?

As one of the top rhinoplasty surgeons in Michigan, Dr. Malhotra commonly consults with patients who need additional surgery after rhinoplasty. Patients come to our practice from across the state after experiencing problems with the result of rhinoplasty procedures elsewhere. Revision rhinoplasty helps these patients achieve their desired results.

Revision rhinoplasty is the term we use to describe additional surgeries after an initial rhinoplasty. Patients can have it performed for functional or cosmetic reasons. It is a complex procedure, as the surgeon must work with damage and scar tissue from prior surgeries. A skilled surgeon with extensive rhinoplasty experience is essential for a good outcome.

Common Reasons for Pursuing Revision Rhinoplasty

Patients choose revision rhinoplasty for many reasons. These include:

  • Breathing problems after rhinoplasty, including deviated septum
  • Nostrils that are too small after nasal surgery
  • “Overdone” results
  • Aesthetic complaints, including a nose that is too wide, large, flat, thin, short, or twisted

If you’ve had previous nasal surgery and are unhappy with your results, meet with a revision rhinoplasty specialist to discuss your options.

Schedule A Consultation

Our Michigan plastic surgery specialists understand that the difference is in the details when it comes to achieving your desired results. Visit Dr. Malhotra and Dr. Ballard at Ann Arbor Plastic Surgery, schedule your consultation today.

Who Is a Good Candidate for Revision Rhinoplasty?

Explore your candidacy for this procedure at a consultation. Generally, good candidates are:

  • In good health
  • Non-smokers
  • At least a year out from previous nasal surgeries

Come to your consultation ready to discuss your goals for the procedure. We’ll need to know what went wrong with your previous procedure so we can ensure that you achieve the desired results with this additional surgery. Some patients will be candidates for non-surgical rhinoplasty, using fillers to smooth minor depressions instead of surgery.

Before and After

What Happens During Revision Rhinoplasty?

Dr. Malhotra creates an individualized surgical plan before each revision rhinoplasty procedure. On surgery day, he’ll make a small incision across the columella and carefully raise the skin and tissue of the nose. He’ll correct any issues from previous surgeries and shape the nose using advanced surgical techniques. Cartilage grafting from the septum, ear, or ribs is often necessary.

A typical procedure takes two to three hours, and Dr. Malhotra performs it in one of the local area operating rooms where he has surgical privileges.


Let our before and after gallery show you the expertise of Michigan’s plastic surgery specialists Dr. Dr. Pramit Malhotra and Dr. Tiffany Ballard. Place your trust in the skilled hands of our board-certified surgeons who understand that the difference is in the details.

Recovery After Revision Rhinoplasty in Ann Arbor

Most patients return home the same day as their procedure and can recover in the comfort of their home. Your nose will be bandaged, and may also have an external splint for additional support. Dr. Malhotra does not pack the nose with bandaging or dressings.

You’ll need extra rest as your body heals from surgery. Patients report feeling tired, tender, and groggy after surgery.

Speed up your recovery by using ice, pain medication, and elevation as directed by your surgeon. We’ll provide detailed instructions and are available throughout recovery if you have questions or concerns.

Swelling is slow to resolve after revision rhinoplasty. It can take up to two years to achieve a final result.

Non-Surgical Revision Rhinoplasty

Surgery isn’t always necessary to improve the results of a previous rhinoplasty. We can fill in small depressions and even out mild asymmetry using dermal fillers for non-surgical rhinoplasty. Dr. Malhotra specializes in this innovative method for an aesthetic nasal correction.

Revision Rhinoplasty FAQs

No one wants additional surgery after rhinoplasty, but complications from a previous procedure can make revision surgery necessary. We recommend patients always choose an experienced plastic surgeon for their cosmetic procedures. By choosing a surgeon who has performed many rhinoplasties, patients reduce the chances of complications. Clear communication is also essential. If you and your surgeon aren’t on the same page, you aren’t going to receive the results you’re expecting.

Dr. Malhotra usually performs revision rhinoplasty using an open technique, which involves making a small incision across the tissue strip that divides the nostrils. Open rhinoplasty is the best way to visualize the underlying structure of the nose. This incision may leave a faint scar after healing, but due to its placement, most patients find it isn’t noticeable. If you’re concerned about scarring, or if your skin is prone to dark, raised, or visible scars, talk with Dr. Malhotra.

Revision rhinoplasty costs vary significantly, depending on the process used. Some patients won’t need surgery and can achieve good results with dermal fillers and other non-surgical techniques. Other patients may need extensive surgery, including cartilage grafting. We’ll provide a detailed estimate after examining your nose.

Our surgeon, Dr. Malhotra, is a board-certified plastic surgeon and one of the area’s top rhinoplasty specialists. In addition, he also holds board certification in otolaryngology (ears, nose, and throat). His deep understanding of nasal anatomy and carefully honed surgical skills provide a solid foundation for outstanding nasal surgery outcomes.

Downtime after surgery varies, depending on the type of surgery needed. Recovery after revision rhinoplasty is typically longer than a first-time procedure. Our patients generally need between six to 14 days off work and may need to avoid strenuous activities for two weeks or more.

Some estimates suggest 10 to 15% of patients require some sort of revision after rhinoplasty. Our revision rate is 5%.

If you need additional nasal surgery after rhinoplasty, choose Ann Arbor Plastic Surgery for revision rhinoplasty in Michigan. Contact our office to learn more about this procedure or to schedule a consultation with our rhinoplasty surgeon, Dr. Malhotra.