Why is the cost of revision rhinoplasty higher?

Revision rhinoplasty is the second surgical intervention planned when shape, function, or structural corrections are needed after a previous nose surgery. This procedure requires a more comprehensive analysis and surgical preparation due to the impact on nasal tissues from prior surgeries. Below is a summary of why revision rhinoplasty requires a more detailed approach.

Changes in Tissue Structure After Previous Surgery

After the first rhinoplasty surgery:

• The natural cartilage structure of the nose may have changed.
• Fibrosis (scar tissue) may have developed in the bone and soft tissues.
• Support structures may have weakened.

In revision surgery, these tissues need to be separated, adhesions released, and the current situation reassessed. Therefore, the surgery process is planned in more detail.

Insufficient Cartilage Support

In many revision rhinoplasty cases, the amount of cartilage in the nose may have decreased due to the previous surgery. In such cases, additional support may be needed for the nose.
The available support tissues are:

• Septum (nasal cavity) cartilage
• Ear cartilage
• Rib cartilage

The suitable source is determined after examination and evaluation.

More Detailed and Personalized Surgical Planning

In revision planning, the following elements are analyzed in detail:

• Facial proportions
• The impact of the first surgery on the nose structure
• The condition of existing support structures
• Evaluation of breathing function
• The amount of additional graft (cartilage) needed

For this reason, revision rhinoplasty is not a "standard procedure" but a process planned entirely based on the individual.

Longer Surgery Time

While the first rhinoplasty generally takes 2–3 hours, revision surgeries may take longer due to the need for tissue separation and reconfiguration.
The duration depends on the patient's nose structure, the effects of the previous surgery, and the procedures required.

Functional and Structural Adjustments Often Needed Together

In revision rhinoplasty planning, in some patients:

• Shape changes
• Loss of support in the nasal tip
• Breathing difficulties
• Narrowing in the valve area

These issues may occur together. Therefore, during surgical planning, both aesthetic structure and nasal functions are evaluated together. The procedures to be applied are determined by the physician based on the examination findings.

Frequently Asked Questions About Revision Rhinoplasty Costs