Revision Rhinoplasty Surgery in London
What is a revision rhinoplasty?
Revision rhinoplasty, also known as secondary rhinoplasty or re-do nose surgery, is a procedure performed to correct or improve the outcome of a previous rhinoplasty.
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 Real Plastic Surgery, Mr Naveen Cavale, 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:
- Aesthetic dissatisfaction with the shape, size, or symmetry of the nose
- Breathing problems that developed or were not corrected, or worsened, by previous surgery
- Collapse or over-reduction of nasal structures
- Irregularities in the nasal tip, bridge, or nostrils
- Unnatural appearance or poor healing from earlier procedures
At Real Plastic Surgery, all revision rhinoplasty patients are under the care of our founder, Mr Naveen Cavale, a Consultant Plastic and Reconstructive Surgeon internationally recognised for his expertise in complex nasal reconstruction and secondary rhinoplasty. His reconstructive background ensures every procedure is approached with precision, safety and an understanding of both form and function. Learn more about Mr Cavale’s medical background and expertise here.
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:
- Irregularities in the bridge, tip or nostrils
- Asymmetry or uneven contour
- Over- or under-correction of nasal features
- Breathing problems or nasal collapse after surgery
- Residual hump or polly-beak deformity
- Visible scarring or distortion from previous surgery
Mr Cavale approaches each revision 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 addresses 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 approach is most appropriate 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 increasingly using donor rib cartilage in complex revision cases to provide stronger, more reliable structural support.
Treatment Time
Septorhinoplasty in London usually takes two to three hours under general anaesthetic.
Downtime
Expect about one week off work, longer if swelling or bruising is more visible.
Reasonable Mobility
You’ll be up and moving the same day, though expect swelling and congestion for the first week.
Sport & Exercise
Gentle walking is fine after a few days, but strenuous exercise and contact sports should wait six weeks.
Driving
Most patients can drive again after one to two weeks, once splints are removed, vision is clear, and you feel comfortable.
Shower
You can usually shower after two days, avoiding hot water and pressure on the nose.
Full Recovery
Healing takes around six weeks, with final results continuing to refine for up to a year.
Maintenance
Results are permanent, though natural ageing may subtly change nasal shape over time.
Reason for doing this?
Septorhinoplasty in London corrects a deviated septum and reshapes the nose to improve breathing and appearance.
Reasons to Avoid
Septorhinoplasty in London may not be suitable if you have uncontrolled health conditions, poor healing, or unrealistic expectations.
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 REAL Clinic in Battersea. Virtual consultations are also available for convenience, though an in-person meeting is required before finalising your surgical plan. Book here if you’re ready for your consultation.
Revision 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 improvements 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 one-week 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 transformation 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
What is the difference between primary and revision rhinoplasty?
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 combines reconstructive precision with aesthetic understanding to restore natural balance and function while minimising the risks associated with re-operation.
How long should I wait before having revision rhinoplasty?
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 ensures that any further surgery is well-planned, realistic, and designed around your long-term wellbeing.
Can revision rhinoplasty fix breathing issues caused by my last surgery?
Yes, many patients seek revision rhinoplasty because their previous operation affected nasal airflow 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 breathing while also improving appearance, using techniques that rebuild internal support and open the nasal passage.
If you are struggling 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.
Will I need cartilage grafts in revision rhinoplasty?
Often, yes. Because revision rhinoplasty involves working with previously altered tissue, additional cartilage grafts are frequently needed to restore strength, definition, and stability. 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 — and Mr Cavale is increasingly using donor rib cartilage in complex revision cases to provide stronger, more reliable structural support.
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
What kind of results can I expect from revision rhinoplasty?
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 revision 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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