If the result of your rhinoplasty is not as you expect and your image is somewhat different than you think. Usually some patients of rhinoplasty do not see some difference in the shape of the nostrils, or an irregular area on the bridge of the nose after surgery and the result do not satisfying them. To get more happiness they may require a secondary rhinoplasty surgery.

If the patient is unhappy with their rhinoplasty then they should return to their original plastic surgeon. It is sensible that the original surgeon is almost always better physically. Every plastic surgeon wants that their patient should satisfy and they must motivate to work to bring you close to the result as you want. Sometime skill plastic surgeon's are not able to solve your problem because of some surgical risks of nasal distortion caused by the healing process and scar contracture, or even infection

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Secondary rhinoplasty patients are different from the initial surgery patients. Secondary rhinoplasty patients are often disbelieving and the emotional and the cost of surgery also make them nervous and somewhat aggressive. With a new plastic surgeon they become strong and hopeful to get the best results. Sometimes this can be a little difficult as usually that the secondary rhinoplasty patient may not always be clear on exactly what bothers them. Without an exact list of identifiable areas on the nose that can be realistically changed and the second consults on revisional surgery are common.
After an initial rhinoplasty some nose problem corrections are not possible. Scar, lost anatomy, and the thickness of one's nasal skin will limit so it can improve but you do not get exact what you want for all these minor problems

After primary rhinoplasty irregularity on the dorsum of the nose, a scooped-out appearing nose, middle vault collapse, an overly narrowed or pinched tip, retracted columella can be improved. For all these secondary problems can be corrected by adding tissue provide support to the framework of the nose.
To correct residual crooked nose and differences in the shape and size of the nostrils is somewhat difficult. It is more difficult to correct the origin of the problem is multi-factorial and secondary scarring really works against what is achieved during surgery. The secondary rhinoplasty surgery can be done but the expectations have to be tempered.