Revision Rhinoplasty Surgery in London

What is a revision rhinoplasty?

rhinoplasty, also known as secondary rhinoplasty or re-do nose surgery, is a procedure performed to correct or improve the outcome of a previous .

It is one of the most complex operations in facial plastic surgery, as the nasal anatomy has already been altered and may involve scar tissue, cartilage loss, or structural weakness. At , , Consultant Plastic and Reconstructive Surgeon, takes a thorough, methodical, and personalised approach to every revision case.

The goal is always to restore both form and function, achieving a natural result that fits your face, improves shape, and allows you to breathe comfortably.

Common reasons patients consider revision rhinoplasty include:

At Real Plastic Surgery, all revision rhinoplasty patients are under the care of our founder, Mr Naveen Cavale, a Consultant Plastic and Surgeon internationally recognised for his expertise in nasal reconstruction and secondary rhinoplasty. His reconstructive background ensures every is approached with precision, safety and an understanding of both form and function. Learn more about Mr Cavale’s medical background and expertise .

Revision rhinoplasty from £13,250

Schedule a consultation with one of the best rhinoplasty surgeons in London

Before and After

Why Consider Revision Rhinoplasty?

Even when performed with care, a rhinoplasty may sometimes heal unpredictably or fail to meet expectations. 

Common reasons for seeking revision include:

Mr Cavale approaches each rhinoplasty with precision and care, aiming for results that appear natural, breathe well and last a lifetime, so no further revision is required.

Types of Revision Rhinoplasty

Minor refinement small contour irregularities or asymmetry from a previous operation.
Functional revision corrects breathing difficulties due to collapsed nasal valves or septal problems.
Structural reconstruction rebuilds weakened or over-reduced nasal support using cartilage grafts (from the septum, ear, or rib).
Comprehensive secondary rhinoplasty is a full revision addressing both cosmetic and internal functional issues.

Each case differs in complexity. Mr Cavale will determine whether an open or closed is most and discuss any grafting required to achieve long-term stability and refinement. Grafts may be taken from the nasal septum, ear, or rib, depending on how much support is required and what tissue remains from your first operation. Mr Cavale is using donor rib in complex revision cases to provide stronger, more reliable structural .

Septorhinoplasty in London usually takes two to three hours under general anaesthetic.

Expect about one week off work, longer if swelling or bruising is more visible.

You’ll be up and moving the same day, though expect swelling and for the first week.

Gentle walking is fine after a few days, but strenuous exercise and contact sports should wait six weeks.

Most patients can drive again after one to two weeks, once splints are removed, vision is clear, and you feel comfortable.

You can usually shower after two days, avoiding hot water and pressure on the nose.

Healing takes around six weeks, with final results continuing to refine for up to a year.

Results are permanent, though natural ageing may subtly change nasal shape over time.

Septorhinoplasty in London corrects a deviated septum and reshapes the nose to improve breathing and appearance.

Septorhinoplasty in London may not be suitable if you have uncontrolled health conditions, poor healing, or unrealistic .

The Patient Journey: Revision Rhinoplasty

The revision rhinoplasty consultation typically lasts around 30 minutes and takes place face-to-face with Mr Naveen Cavale at the . Virtual are also available for convenience, though an in-person meeting is required before your surgical plan. Book if you’re ready for your consultation.

rhinoplasty is often a more complex and considered procedure, so Mr Cavale encourages patients to take their time, ask questions, and seek advice from both their consultant and their close support network before making a final decision.

After surgery, you’ll need someone to stay with you overnight. Postoperative care includes direct access to our nursing team via WhatsApp or phone, and an in-person review about a week later to remove dressings, splints, and stitches. Most patients return for a six-week check-up, with further reviews arranged as needed. While early are noticeable, final results can take up to six to twelve months to fully settle.

If you have any concerns during recovery, Mr Cavale and the team are always available for reassurance and support.

What to Expect on the Day

Revision rhinoplasty is typically performed under TIVA general anaesthesia (a light, fast-recovery form of anaesthetic), with the procedure lasting a few hours. In most cases, patients return home the same day.

When you wake up, your nose will be supported with a small external cast and gentle tape. You may have soft internal packing, but we avoid using firm splints wherever possible, as these can cause unnecessary discomfort. Fine stitches are placed beneath the nose and inside the nostrils; most are dissolvable or are removed within a week. The internal packing is taken out before you go home, while the external cast and remaining stitches are removed at your review.

You can usually shower the next day, though the face should be kept dry until the dressings are removed. Swelling and mild bruising are normal and will gradually settle over the following weeks. For practical guidance during recovery, you can read our detailed article on rhinoplasty recovery tips.

Book a Consultation

Every starts with a conversation. During your consultation at Real Plastic Surgery, we’ll take the time to understand your concerns, assess your goals, and create a tailored treatment plan that’s right for you. Book your consultation today and take the first step towards feeling your best

Frequently Asked Questions

Primary rhinoplasty refers to a patient’s first nose surgery, usually performed to enhance appearance, improve breathing, or both. Revision rhinoplasty, sometimes called secondary rhinoplasty, is carried out to correct or refine the outcome of that earlier operation.

Because the anatomy has already been altered, revision surgery is often more technically demanding. There may be scar tissue, weakened cartilage, or missing structural support. For this reason, revision surgery must be performed by an experienced reconstructive plastic surgeon.

At Real Plastic Surgery, Mr Naveen Cavale reconstructive precision with aesthetic understanding to restore natural balance and while minimising the risks associated with re-operation.

It’s important to allow your nose enough time to heal completely before considering revision surgery. In most cases, we recommend waiting at least 12 months after your initial rhinoplasty.

During this period, swelling gradually subsides and the tissues stabilise, giving a more accurate picture of your final result. Operating too soon can compromise both healing and outcome. At your consultation, Mr Cavale will carefully assess your healing, discuss your concerns, and guide you on the safest timing for a potential revision. This that any further surgery is well-planned, realistic, and designed around your long-term wellbeing.

Yes, many patients seek revision rhinoplasty because their previous operation affected nasal or created internal collapse. As a Consultant Plastic and Reconstructive Surgeon, Mr Cavale is highly experienced in both the cosmetic and functional aspects of nasal surgery. His approach focuses on restoring normal while also improving appearance, using that support and open the nasal passage.
If you are with congestion, obstruction, or difficulty breathing through your nose, a detailed assessment can help identify the cause and the best way to correct it safely.

Often, yes. Because revision rhinoplasty involves working with previously altered tissue, additional cartilage grafts are needed to restore strength, definition, and . Grafts may be taken from the nasal septum, ear, or rib, on how much support is required and what tissue remains from your first operation — and Mr Cavale is using donor rib cartilage in complex revision cases to provide stronger, more reliable structural .

Mr Cavale will explain the options in detail during your consultation, ensuring you understand the procedure, recovery, and benefits. Using precise reconstructive techniques, the aim is always a durable, natural, and balanced result that both looks and feels right

Every revision rhinoplasty is different, but patients can typically expect an improvement in both nasal function and overall appearance. The goal is not perfection, but harmony — a nose that feels comfortable, fits naturally with your facial features, and restores confidence.

Swelling takes time to settle, and subtle refinements continue for up to 12–18 months after surgery. Mr Cavale follows all patients closely during this period, offering support, reassurance, and further review if needed.
While rhinoplasty is complex, in experienced hands it can make a life-changing difference — helping you breathe more easily and feel at ease with your appearance once again.

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