We do not perform the surgery immediately. There must be a minimum of 8-9 months between the two surgeries. During this time, if the patient has a sinus problem, we treat it. If there is a nutritional issue with the skin, we review and address it. If there is a concern about skin thickness, we prepare for the revision surgery using certain creams and medications. During this period, through our consultations with the patient, we discuss what parts of the result the patient is not satisfied with. Using Photoshop programs, we discuss these concerns with the patient. We decide on a nose shape that suits the patient's face and proportions, and then proceed with the surgery.