Revision Rhinoplasty in Korea: Key Facts

Definition. Revision (secondary) rhinoplasty is corrective nose surgery that addresses functional or aesthetic issues remaining after one or more previous rhinoplasties — such as implant show-through, contracture (a shortened, upturned nose), asymmetry, or breathing difficulty.

Primary vs. Revision Rhinoplasty

AspectPrimaryRevision
Tissue conditionUntouched anatomyScar tissue, altered structure
DifficultyStandardHigher — requires reading the prior surgery
Preferred materialSilicone, septal/ear cartilageAutologous cartilage (septal, ear, or rib)
Recommended timing—At least 6-12 months after the prior surgery

Approach to revision cases

Revision rhinoplasty is less about adding height and more about rebuilding a stable, natural support structure from previously altered tissue. — Dr. Daehee Han, Board-Certified Plastic Surgeon (Specialist No. 2045)

Revision Rhinoplasty in Korea

Revision Rhinoplasty

Revision rhinoplasty is a core focus. Board-certified surgeon Dr. Daehee Han corrects contracture, implant visibility, and asymmetry in Gangnam, Seoul.

Key Facts

Procedure time2~4 hours
AnesthesiaGeneral Anesthesia
Return to daily lifeAfter 7-10 days
Suture removalAfter 5–14 days

Procedure Information

Treatment area: Nose

Procedure type: Surgical procedure

Surgeon in charge: Dr. Daehee Han

Frequently Asked Questions

How many times can revision rhinoplasty be performed?

There is no absolute limit on the number of surgeries, but tissue conditions become more complex as the number increases. Generally, up to 2–3 surgeries can be performed relatively safely, and beyond that, use of your own tissue (rib cartilage) is essential. At Edition Plastic Surgery, we determine whether surgery is possible after a precise diagnosis with 3D CT.

How long is the recovery period after revision rhinoplasty?

Most swelling subsides within 1-2 weeks, and the natural nose shape is completed over 3-6 months. Return to daily life is possible after about 2 weeks, with final results confirmed after 6 months to 1 year.

What is capsular contracture of the nose?

This is a condition in which the capsule around a silicone implant thickens, causing the nose to shorten, harden, and turn upward at the tip. It can develop months to years after implant insertion and requires implant removal and reconstruction with autologous tissue. Edition Plastic Surgery specializes in contracted nose revision surgery using autologous costal cartilage.

How much does revision rhinoplasty cost?

The cost of revision rhinoplasty varies by individual depending on the condition from previous surgery, the scope of reconstruction, and the materials used (autologous rib cartilage, septal cartilage, or ear cartilage). At Edition Plastic Surgery, we provide an accurate surgical plan and cost after an in-person consultation and 3D CT analysis. Because the surgery is more difficult than a primary rhinoplasty, the cost tends to be higher.

What is rib cartilage revision rhinoplasty?

A method of harvesting cartilage from your own rib to reconstruct the nasal structure. It has high biocompatibility and virtually no risk of contracture, making it a highly safe material for multiple revisions or severe contracture cases.

What precautions should be taken before revision rhinoplasty?

Stop smoking 2 weeks before surgery and discontinue medications affecting blood clotting such as aspirin and ibuprofen. Get adequate sleep the night before, and fast on the day of surgery (8 hours fasting before anesthesia).

What is the difference between revision and primary rhinoplasty?

Primary rhinoplasty is the first surgery; revision rhinoplasty corrects issues from previous surgeries. Revision rhinoplasty is complex due to altered tissues, scars, and adhesions, often requiring autologous tissue. Thus, it's crucial to choose a specialist with extensive revision rhinoplasty experience.

Is it possible to only remove the implant?

Yes, it is possible. After implant removal, you can replace with autologous tissue or maintain the natural state according to the patient's wishes. However, if the implant has been used for a long time, surrounding tissue may be deformed.

Will there be scars after revision rhinoplasty?

Most surgeries are performed through a columellar incision (at the base of the column of the nose), and scars in this area tend to become hard to see over time. When a closed approach with intranasal incisions is used, only the inside of the nose is incised, so no visible skin is cut. When autologous costal cartilage is harvested, an incision of about 2 cm is needed below the chest. How well scars heal varies by individual.

Can revision be done if I had surgery at another clinic?

Yes. We comprehensively evaluate your previous surgical records and current condition with 3D CT and then establish the optimal surgical plan. Revision surgery after procedures at other clinics is one of Edition Plastic Surgery's main areas of practice.

When is the appropriate time for revision rhinoplasty?

We recommend waiting at least 6 months to 1 year after previous surgery. Surgery should be performed when tissue is sufficiently stabilized for accurate correction. However, in emergencies such as infection, implant exposure, or severe breathing difficulty, earlier intervention may be needed.

What anesthesia method is used for revision rhinoplasty?

Performed under general or sedation anesthesia. The anesthesia method is determined by surgical scope and expected duration. General anesthesia is used when rib cartilage harvesting is included. Blood tests and ECG are conducted before anesthesia.

How long does revision rhinoplasty surgery take?

The procedure takes about 1.5–3.5 hours. Time varies with the condition left by the previous surgery and the extent of reconstruction, and it may run somewhat longer if autologous costal cartilage harvesting is included. What matters more than operating time is precise diagnosis and planning, and at Edition Plastic Surgery we take the time needed to perform the surgery accurately.

Can the nose collapse again after revision rhinoplasty?

Using your own tissue greatly reduces the risk of re-contracture. Unlike silicone implants, autologous cartilage does not form a capsule, so it is stable over the long term. Regular follow-up after surgery is important, and at Edition Plastic Surgery we check your progress at 1 week, 1 month, 3 months, 6 months, and 1 year after surgery.

Can deviated septum correction and revision rhinoplasty be done simultaneously?

Yes, it is possible. We perform combined surgery to simultaneously correct nasal obstruction from deviated septum and aesthetic issues from previous rhinoplasty. Functional correction (septoplasty) and cosmetic correction (revision rhinoplasty) in one procedure.

I've already had two failed surgeries. Is it okay to try again?

Even if you have had multiple surgeries, it may be possible depending on your individual condition, and in this case the health of your nose and your overall health matter most. The priority is to first confirm the remaining tissue and the amount of usable autologous tissue with a 3D CT scan and to define what is possible now, rather than pursue an overly ambitious plan. Depending on your condition, we may advise against surgery for now, so the decision is made through consultation.

A step has formed between my nasal bridge and tip. Can revision surgery remove it?

A step-off forms when the connection between the bridge and the tip is broken. The tip is especially likely to drop when it has been lengthened considerably, so revision surgery aims to adjust the length and height of the tip to create a continuous line from the bridge to the tip. The degree of improvement varies by individual depending on the condition of the tissue.

Consultation

Phone: +82-2-591-0100

Location: 6F, OPUS 407 Building, 407 Gangnam-daero, Seocho-gu, Seoul, South Korea

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