Revision Rhinoplasty | Houston

In general, revision rhinoplasty is about restoring proper nasal function and correcting one or more aspects of the aesthetic form after previous nasal surgery.

Houston rhinoplasty surgeon, Dr. Ben Cilento, realizes that there is an extra layer of emotion tied to revision rhinoplasty. The normal and happy primary rhinoplasty story has been replaced by one of disappointment. Our revision rhinoplasty patients are often dealing with feelings of remorse, frustration and even pain and discomfort from nasal obstruction.

As with all of our plastic surgery patients, we take a comprehensive and compassionate approach to your surgery journey. This is extremely important to us in revision rhinoplasty cases.

What Are The Benefits Of A Revision Rhinoplasty?

Improved Nasal Breathing After Revision Rhinoplasty

Sometimes after a rhinoplasty patients experience compromised breathing or a loss of structure. Because of his experience as both a sinus surgeon and facial plastics surgeon, Dr. Cilento is an expert at reconstructing the structure and restoring normal breathing.

Improved Aesthetics

Dr. Cilento has spent twenty years studying, teaching and writing about bad rhinoplasty outcomes. He has the knowledge, experience, and skill to restore natural-looking results in noses in revision rhinoplasty.

Improved Self Esteem

Because the nose is the central feature of the face it can have a profound effect on our self-esteem. Having imperfections and issues corrected can help to restore self-confidence.

Is Revision Rhinoplasty More Expensive Than Traditional Rhinoplasty Surgery?

Revision Rhinoplasty is more complex than you primary rhinoplasty surgery and thus often more expensive. There is scar tissue to deal with and there is often less tissue to work with. Both of these make a revision rhinoplasty a more complex surgery. Because of Dr. Cilento’s vast experience with revision rhinoplasty, many surgeons send their complicated cases to our office.

Primary Rhinoplasty Case ID: 0273


Primary Rhinoplasty Case ID: 0319

Rhino Results

Primary Rhinoplasty & Chin Augmentation Case ID: 0492

This young woman had always been self conscious of her profile and wanted to have a rhinoplasty. During her consultation I sat with her in front of her pictures and showed her what a chin augmentation would look like after her surgery. I did this using a morphing program that allows me to manipulate the images and demonstrate approximate results of surgery. We decided to do a septorhinoplasty, tip reshaping and medium chin augmentation. The photos below were taken at approximately 6 months after her surgery.

-Dr. Cilento

Rhino before and after
Primary Rhinoplasty

Primary Rhinoplasty Case ID: 0588

This 28 year old female presented with concerns of nasal persistent cosmetic nasal concerns and wanted a Primary Rhinoplasty. She complained of a “heavy look” to her nose with a tip that was not “elegant” in her opinion and a dorsum with a hump that was common to her family. I reduced her hump and tailored her tip to fit with our discussions about her idea of what an “elegant nose” would look like after the surgery. These pictures were taken at 6 months after her surgery.

Primary Rhinoplasty

Rhinoplasty - 6 Months Post Op

Rhinoplasty - 6 Months Post Op

Dr cilento facial plastics APRS Texas Houston

Primary Rhinoplasty Case ID: 0344

Primiary Nose Job Before and After

Teen Rhinoplasty Case ID: 0470

This is a 17 year old patient that was heading off to college and felt that his profile looked “weak” and was causing him to have anxiety and low motivation and confidence. Part of this came from his tall and thin nose but also his recessed chin. We performed a primary rhinoplasty and placed a medium sized chin implant as well. These after pictures were taken 1 year after his surgery.

-Dr. Cilento

Teen Rhinoplasty Before and After houston

Ethnic Rhinoplasty Case ID: 0509

This young latino woman always felt her nose made her face look heavy. She didn’t want to make changes that would run counter to her heritage but wanted a more feminine and streamlined look. She underwent hump reduction via an open approach, alar base excisions (shown here to demonstrate how well the wounds tend to heal) and tip rotation and refinement. The pictures shown were taken 4 months after the surgery.

-Dr. Cilento

Ethnic Rhinoplasty Before and After

Primary Rhinoplasty Case ID: 0337

Teen Rhinoplasty Case ID: 0484

This patient presented at the age of 16 for nasal obstruction and aesthetic concerns. We had multiple conversations in order to assess her motivations and make sure she was sure about what she wanted. I performed a septorhinoplasty with turbinate reduction and lowered her dorm and narrowed the tip, turning it up slightly as well. These after pictures were taken 1 year after her surgery.

-Dr. Cilento

Teen Rhinoplasty Houston

Primary Rhinoplasty & Chin Augmentation Case ID: 1564

Before and after rhino

Primary Rhinoplasty Case ID: 0291

Male Rhinoplasty
Primary Rhinoplasty

Primary Rhinoplasty Case ID: 0569

This is a side by side comparison of a primary rhinoplasty on a young woman with a larger tip.

-Dr. Cilento

Revision Rhinoplasty Case ID: 0477

This is a 25 year old professional female who underwent a primary rhinoplasty in the Middle East 3 years prior to presenting. After surgery she had immediate nasal obstruction and over time had a collapse and derangement of the structure to the point where she presented below. She had severe scarring to the inside of the nose as well presenting a very difficult problem functionally. She had complete nasal valve collapse and septal deviation. She underwent a revision rhinoplasty using structural rib grafting, with ear cartilage grafting, septoplasty, nasal valve reconstruction and skin grafting to the inside of the nose to fix extensive scarring of the internal nasal passages. The after pictures below were taken one year after her revision surgery.

-Dr. Cilento

Before and After Revision Rhinoplasty Houston

How Long After My First Surgery Should I Wait For My Revision?

It is recommended to wait for 9 months to a year after your last surgery before pursuing most revision maneuvers. The normal healing process continues after surgery for up to 18 months. A problem you see at the second month of post op, may resolve itself as healing continues. These changes have to be accounted for when planning for the revision rhinoplasty you’ve been thinking about.

What If I Still Have Questions About Revision Rhinoplasty?

If you have questions, we’re here to answer them. By scheduling an initial consultation we can go over your questions, concerns and goals. We’ll spend time with you discussing your options for revision rhinoplasty. Make sure you share all of your concerns with our surgeons during this time. If you’re having trouble breathing, or with nasal function, let us know. We’d be glad to help.

Request a Consultation

If you've are unhappy with your primary rhinoplasty and are considering a revision rhinoplasty, a consultation is the first step. We know life can be busy. Fill out the form below and we'll reach out to you to set up your consultation.

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