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by Dr. Zahi Abou Chacra

Revision Rhinoplasty

REVISION RHINOPLASTY

Revision Rhinoplasty (Second revision rhinoplasty and Third revision rhinoplasty) is undoubtedly one of the most challenging surgeries performed by a facial plastic surgeon. Revision Rhinoplasty requires operating on a nose that has previously been altered surgically. This procedure corrects undesirable or subpar aesthetic and / or functional results from a Primary Rhinoplasty. In most cases, patients must wait one year between Primary Rhinoplasty and Revision Rhinoplasty.

Dr. Chacra specializes in revision nose job and is highly experienced in this aspect of facial plastic surgery. In addition, his expertise in complex nasal trauma and reconstructive procedures allows him to rebuild the structural foundations of even the most disrupted nasal structures.

A thorough nasal examination in primary cases allows Dr. Chacra to determine predictable patterns of anatomical variations. However, in Revision cases, these variations have been further altered, surgically resulting in a less-predictable anatomical configuration on which the surgeon must operate. Thus, due to the extremely sensitive and detail-oriented nature of this procedure, it is crucial to carefully navigate and tailor each revision case with the utmost care and planning.

Experience with these cases is a significant asset when performing Revision Rhinoplasty.
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Over a decade of doing these procedures and knowing how to minimize internal scar tissue is essential to Dr. Chacra’s ability to make the necessary adjustments to the structure of the nose while providing the patient with their desired results.

Revision Rhinoplasty demands a surgeon who is well-versed in techniques pertaining to this specific type of procedure, which is a corrective surgery. Patients who undergo Revision Rhinoplasty can expect to see both subtle and progressive results during the healing process.

If you have had a Rhinoplasty with unsatisfactory results, take heart in knowing that although you still have a challenge ahead, a beautiful outcome is within reach in the hands of the right surgeon.


Common problems Dr. Chacra treats with Revision Rhinoplasty include:

  • Breathing problems
  • Asymmetric or widened noses
  • Nasal humps or bumps
  • Crooked dorsum
  • Inverted-V deformities
  • Upturned, pinched, or bulbous nasal tips

What is the most common reason for Revision Rhinoplasty?

Patients often come to Dr. Chacra for Revision Rhinoplasty because they are disappointed with the outcome of previous Rhinoplasty procedures.

Overlooking any one of the following steps can lead to poor surgical cosmetic results following a Primary Rhinoplasty, therefore increasing the chances for the need of a Revision Rhinoplasty.

Essential steps Dr. Chacra takes for Revision Rhinoplasty patients

Pre-operatively

  • Documenting patients’ precise concerns about their nose
  • Performing accurate anatomical diagnoses that underlie each problem and or concerns
  • Strategizing proper surgical planning that is personalized to each patient’s nose

Per-operatively

  • Executing meticulously on the pre-strategized techniques during the surgery
  • Respecting the tissues when manipulating them, all while ensuring minimal disruption
  • Having the skills to correct a rare complication during surgery, should any arise

Post-operatively

  • Confirming that patients understand and follow post-operative instructions and avoid activities or behavior that could jeopardize their results.
  • Maintaining a regular follow-up regimen whereby the surgeon may propose techniques to improve the healing process.
  • Ensuring that patients can reach their surgeon in case of an emergency when they require immediate care.

Dr. Chacra is a top choice in Montreal for patients who have had one or multiple unsatisfactory procedures done by other surgeons. During a Revision Rhinoplasty Consultation, Dr. Chacra will address the following points to determine what the Revision will entail:

  • Harmony and balance within the nose itself, as well as with the rest of the face
  • Deviations
  • Asymmetry
  • Irregularities
  • Scar Tissue
  • Under-resection (not enough removal of tissue)
  • Over-resection (removal of too much tissue)
  • New or Unresolved Breathing Issues
If you are pursuing a Revision Rhinoplasty and have access to the records from your previous surgery, we encourage you to bring them with you to your Consultation.
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These records will give Dr. Chacra more insight into what occurred during your surgery and what your original treatment plan entailed.