Sometimes a past nose job needs to be redone because a patient is not happy with the results. Generally, Revision Rhinoplasty is performed to, obtain results that more closely matches a patient’s expectations, or to address a problem that may have developed after surgery. Dr. Brian Maloney is the only physican at The Maloney Center for facial plastic surgery in Atlanta, GA can resculpt the nose and make patients look as if the primary nose job had never been performed.
Revision Rhinoplasty is typically a much more complex and difficult operation. Unlike a primary rhinoplasty, revision rhinoplasty is a much more challenging procedure. It is performed to improve the appearance or function of the nose after a previous rhinoplasty has resulted in an unsatisfactory outcome or persistent breathing problems. Because the nasal tissues have already been altered, revision surgery requires meticulous planning, advanced techniques, and a high level of surgical expertise. Scar tissue makes nasal dissection much more challenging, and cartilage can be very weak and scarce. Therefore, Revision Rhinoplasty requires an extremely skilled and experienced surgeon like Dr. Brian Maloney.

Is Revision Rhinoplasty Right for You?
- Artificial or unnatural nasal appearance
- Asymmetry in the tip, upper third or middle third of the nose
- Displaced nasal implant or extruding nasal implant
- Nose is not in balance with the rest of the face
- Persistent nasal hump
- Saddle nose or over-reduced bridge
- Over-rotated or under-rotated tip
- Crooked tip or crooked nose
- Breathing problems
During a consultation, Dr. Maloney carefully evaluates the previous surgery, current nasal structure, and the patient’s goals to determine whether revision rhinoplasty is the most appropriate solution.
Revision Rhinoplasty Procedure Details
Revision rhinoplasty requires a detailed assessment of the nose’s structure, previous surgical changes, and the patient’s desired outcome. Because scar tissue and altered anatomy are often present, revision procedures are typically more complex than primary rhinoplasty and require careful planning before surgery.
Before performing Revision Rhinoplasty, Dr. Maloney works with the patient to identify the reason why they are unhappy with the results of the primary Rhinoplasty and then sets specific and realistic goals for the revision procedure. Vague statements or abstract goals are counterproductive and will not help to develop a successful treatment plan. It’s also important not to be premature in decisions regarding Revision Rhinoplasty. Swelling distorts the final results of a nose job; it can take a year to 18 months for the swelling from a primary Rhinoplasty to fully dissipate.
In the case of over-correction, there may not be enough cartilage left to properly sculpt the nose. Dr. Maloney may need to graft cartilage from other areas of the body to reconstruct the nose. Common cartilage sources is the ear. The patient may also have scars and tight skin from the primary Rhinoplasty procedure. When these factors come into play, Revision Rhinoplasty essentially becomes much like a reconstructive surgery, which is why it’s critical to have an experienced surgeon.
Every revision rhinoplasty procedure is unique. Dr. Maloney develops a customized surgical strategy based on the patient’s anatomy, available cartilage support, skin quality, and functional concerns. The goal is to create a nose that looks natural, functions properly, and remains in harmony with the rest of the face.
Why Choose Maloney Center for facial plastic surgery for Revision Rhinoplasty?
Revision rhinoplasty is one of the most challenging procedures in facial plastic surgery because it involves correcting complications from prior surgery while working around scar tissue and altered nasal structures. Successful outcomes require extensive experience, advanced surgical judgment, and a thorough understanding of both cosmetic and functional nasal anatomy.
Dr. Brian Maloney is a fellowship-trained facial plastic surgeon who has dedicated his career to procedures involving the face and nose. He maintains dual board certification from the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and has extensive experience treating both cosmetic and functional rhinoplasty concerns. Patients throughout Atlanta and Sandy Springs choose Maloney Center for facial plastic surgery for personalized treatment planning, meticulous surgical technique, and a commitment to achieving natural-looking improvements that enhance both appearance and breathing function whenever possible.
Move Forward With Greater Confidence in Atlanta, GA
Revision rhinoplasty can help address concerns that remain after a previous nose surgery while improving both facial harmony and nasal function. Maloney Center for facial plastic surgery proudly serves patients throughout Atlanta, Sandy Springs, and surrounding communities with specialized rhinoplasty and facial plastic surgery care.
To learn more about revision rhinoplasty and your treatment options, schedule a consultation by calling 470.207.1367.
