Specialist revision of a previous nose surgery, to refine shape or improve breathing.


Secondary rhinoplasty, or revision rhinoplasty, corrects or refines the result of a previous nose operation. Patients seek it because of a shape they are unhappy with, asymmetry, or breathing difficulty that developed or remained after the first surgery, whether done here or elsewhere.
It is among the most demanding procedures in facial surgery, because the tissue is scarred, the normal landmarks are altered, and supporting cartilage may have been removed. Cartilage from the septum, ear, or rib is sometimes needed to rebuild support.
Because the nose has already been operated on, healing is less predictable and the planning is highly individualized. The aim is a more natural, functional nose, though revision cannot always achieve perfection. All surgery carries risks, and results vary.
Revision cannot always achieve a perfect result, since scarred tissue and altered or missing cartilage limit what is possible, and it cannot guarantee that no further surgery will be needed.
You will receive instructions on medication, supplements, smoking, alcohol, and fasting, and previous records are reviewed. Whether cartilage from the ear or rib may be needed is discussed, since support is often missing.
The scarred framework is carefully assessed and reshaped, and cartilage grafts from the septum, ear, or rib are used where support is needed. Internal structures are corrected if breathing is affected. The open technique is often used for control.
Bruising and swelling ease over one to two weeks, though revision often swells more than a first operation. The tip refines slowly, and because tissue is scarred, the final result takes 12 to 18 months or longer.
A more natural, better-functioning nose is achievable in most cases. Revision cannot guarantee perfection because of scarring and missing support, takes longer to settle than a first rhinoplasty, and may occasionally need a further stage.
Secondary rhinoplasty carries the risks of rhinoplasty plus those of operating on scarred tissue. Possible risks include:
Previously operated noses heal less predictably, so realistic expectations are essential. Smoking impairs healing and is strongly discouraged.
Revision rhinoplasty at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon. Revision is the most demanding nasal work, and his reconstructive background supports rebuilding structure where it is missing.
Dr. Amoroso plans facial surgery around harmony and proportion, not a pulled or operated look. The aim is a refreshed version of your own face, where the change reads as good health rather than surgery.
His background in reconstructive microsurgery brings a detailed command of facial anatomy, the nerves, the deeper support layers, and the way tissues age. That precision underpins both safety and natural, lasting results.
Every revision begins with a detailed assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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