Revision Rhinoplasty

After the pain, time, and expense of rhinoplasty surgery, there is almost nothing more discouraging than realizing you didn’t get the aesthetic improvement you wanted. Due to the nose’s many different types of tissues, its delicately contoured planes and curves, and the essential function that your nose plays in your health, rhinoplasty is one of the most complicated facial plastic surgeries to perform expertly and beautifully. In fact, according to the American Academy of Facial Plastic Surgeons, up to 15% of patients who undergo rhinoplasty later request revision surgery.

Even if you’re happy with your initial rhinoplasty, you may find that as your facial proportions change over time, your nose no longer harmonizes with your other features. Weight gain or loss and aging can all affect the look of your nose.

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Revision Rhinoplasty Requires Extra Expertise

When you decide that you need a revision rhinoplasty to improve the appearance of your nose or to breathe more fully and healthily, finding an expert facial plastic surgeon who specializes in revision rhinoplasty is imperative. Due to the scar tissue and other complications of a prior surgery on the nose, revision rhinoplasty is an even more complex and delicate procedure than initial rhinoplasty. Ideally, your revision surgery should be the last procedure that ever has to be performed on your nose.

As a double board-certified facial plastic surgeon renowned for his expertise in rhinoplasty, Dr. Philip Miller in Manhattan has a deeper understanding of facial and nasal anatomy and aesthetics than a general plastic surgeon does. His specialized training and years of focusing on creating more beautifully balanced facial proportions ensure that your nose will look better and function better after your revision procedure.

Respecting Your Heritage

A common complaint among men and women who are unhappy with their rhinoplasty is that their new nose looks like it doesn’t “belong” on their face. This effect can be especially distressing when the surgeon created a nose that doesn’t match the patient’s ethnic background.

Dr. Miller understands that different ethnicities have varying proportions of cartilage and bone in their noses. If your original plastic surgeon wasn’t an expert in ethnic rhinoplasty. If the bridge of the nose is too flat or narrow after the initial procedure, Dr. Miller can correct it with cartilage grafts from your ear or rib, if needed.

At every step of the way, Dr. Miller ensures that your revision rhinoplasty results in a nose that harmonizes with your natural beauty and ethnicity. He improves the look and function of your nose while maintaining your cultural identity.

Heal First, Correct Later

While you may be unhappy with your rhinoplasty results right after your first surgery, Dr. Miller stresses that you must allow yourself to go through the full healing phase of at least 12 to 18 months before moving on to a correction. Performing another surgery before the nose has fully healed could create irreparable damage.

Also, it’s common to be dissatisfied with the look of your nose for up to a year after your surgery. Your nose tip may have an upturned or “piggy” look; this is a normal effect that occurs because your plastic surgeon has deliberately “over-rotated” your tip upward. This is done to compensate for the fact that your nose tip will droop as it heals.

It takes at least 12 months before you can see the final results of your first rhinoplasty. At the end of the healing process, you may realize that your nose looks just like you were hoping it would. If not, you can schedule a revision rhinoplasty consultation with Dr. Miller.

The Right Nose for You

When you’re ready for revision rhinoplasty, Dr. Miller can correct issues such as:

  • Over-rotated tip
  • Polly beak
  • Nasal valve collapse
  • Asymmetric nostrils
  • Wide nose
  • Crooked nose
  • Long nose
  • Deviated septum
  • Collapsed bridge
  • Unflattering nose shape
  • Nose bumps

During your consultation, Dr. Miller discusses whether a surgical revision is your best choice, or if correcting your nose shape with hyaluronic acid dermal fillers would be a better, if less permanent solution. If your nose seems too big for your face, especially in profile, Dr. Miller may suggest a chin augmentation with fillers or implants instead of a revision rhinoplasty or as an addition to a revision rhinoplasty. A revision nose job is performed on an outpatient basis at Dr. Miller’s JCAHO Accredited office-based surgery facility. To learn more about revision rhinoplasty, visit

Schedule a Revision Rhinoplasty Consultation in New York

For a beautiful, natural-looking improvement to your nose that matches your face and your expectations, contact Dr. Miller at Gotham Plastic Surgery of New York City for a revision rhinoplasty consultation.

Plastic Surgery from Head to Toe

At Gotham Plastic Surgery, we create custom treatment plans that combine minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves. Our unique NatraFace™ approach addresses both restorative and transformative changes.

Gotham’s expert physicians perform advanced surgical and non-surgical procedures that smooth the skin around the eyes to give patients a refreshed look. Our custom NatraEye™ technique combines the use of chemical peels, lasers, eyelash enhancement, and injectables with precision procedures, including:

Our esteemed surgeons utilize the NatraNose™ technique to bring together innovative artistry and unparalleled skill to deliver results that look natural, improve nasal function, and help achieve each patient’s aesthetic goals.

Regardless of your aesthetic goals, Gotham has the skill and technique required for the breast procedure that suits you. Whether adding symmetry or restoring the breast following a mastectomy, Gotham provides patients with enhanced feminine contours and improved body proportions.

Patients from all over the world have undergone amazing body transformation at Gotham, enjoying slimmer bodies with satisfying contours. Our advanced physicians apply their skill and expert technique to precisely sculpt other areas of the body, including the cheeks, chin, buttocks, hips, love handles, knees, upper arms, thighs, and even the neck.

Known for our flawless techniques and a range of skincare options, Gotham Plastic Surgery has all the tools necessary for complete, natural, and comprehensive rejuvenation. As part of a customized treatment plan, these procedures can be performed standalone or in combination with surgical procedures for even more impressive results.

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Trust the Experts

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

  • Episode 38: My First Time

    8 min
  • Episode 37: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 36: Do You Have to Break the Nose for Rhinoplasty?

    2 min
  • Episode 35: Do You Have to Stay Overnight After Having a Rhinoplasty?

    2 min
  • Episode 34: Don't Have a Rhinoplasty!

    2 min
  • Episode 33: Endonasal or External

    1 min
  • Episode 32: Are You a Candidate?

    2 min
  • Episode 31: Asian Nose Job

    3 min
  • Episode 30: In The Office

    17 min
  • Episode 29: Can My Nose be Made Smaller?

    4 min
  • Episode 28: Can't Breath Through Nose

    3 min
  • Episode 27: Chin Implants - Mentoplasty

    2 min
  • Episode 26: Columellar Struts

    23 sec
  • Episode 25: Common Terms

    5 min
  • Episode 24: Connection Between Facial Resurfacing and Tattooing

    5 min
  • Episode 23: The Sooner, The Better?

    4 min
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Plastic Surgery w/ Dr. Miller

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