Facial Surgery

Revision Rhinoplasty

Revision Rhinoplasty corrects aesthetic, functional or structural issues from previous nose surgery, using complex reconstruction to restore facial harmony, balance and confidence.

Procedure Time

3-5 hours

Results Last

Permanent

Hospital Stay

Not usually required

Recovery Time

Initial recovery 2-3 weeks; final refinement up to 18 months

Time Off Work

Approximately 10-14 days

Anaesthesia

TIVA Anaesthesia

Exercise

Light exercise after 3 weeks; full exercise after 6 weeks

Price

From £12,500

Procedure

What is Revision Rhinoplasty?

Revision Rhinoplasty is fundamentally different from primary Rhinoplasty. Unlike first-time nose surgery, revision procedures involve operating on tissues that have already healed, often containing scar tissue, altered cartilage, previous grafts and changes to the normal anatomy – making every case uniquely complex. Dr Yannis Alexandrides carefully analyses every previous surgical change before developing a bespoke reconstructive plan, with the objective of restoring both the appearance and structural integrity of the nose while preserving long-term function.

Expected Effects & Benefits

Corrects persistent dorsal irregularities, asymmetry or over-reduction
Rebuilds weakened structural support using cartilage grafts where needed
Can improve breathing difficulties caused by previous surgery

Your Journey

Your Revision Rhinoplasty Journey

Your journey begins with a comprehensive consultation with Dr Yannis Alexandrides. He will take time to understand your concerns, previous rhinoplasty history and desired result, alongside a detailed assessment of your existing nasal anatomy, scar tissue, structural support, symmetry, facial proportions and breathing where relevant.

Revision surgery requires particularly careful assessment because the anatomy has already been altered by previous surgery. This allows Dr Yannis Alexandrides to determine whether Revision Rhinoplasty is appropriate for you and create a personalised surgical plan designed to address your individual concerns while maintaining natural facial harmony and nasal function where relevant.

Ahead of surgery, you will have a comprehensive pre-operative assessment with our nursing team. This includes a review of your medical history, previous nasal surgery, current medications, lifestyle and overall health, alongside any physical assessment or clinical tests required for your individual surgical plan.

Our team will explain what to expect before and after surgery, answer any questions and ensure you are appropriately prepared for your procedure and recovery.

Good nutrition, hydration and healthy lifestyle habits can help prepare your body for surgery and support the healing process. You will receive personalised guidance on diet, medications, exercise, smoking cessation where appropriate, and practical preparation before your procedure.

Every recommendation is tailored to your individual health, lifestyle and surgical plan to ensure your preparation is appropriate for you.

Preparing the skin and tissues forms an important part of our 360° approach. Ahead of your procedure, our team may recommend a personalised programme to optimise skin and tissue quality and prepare you for surgery.

Where appropriate, this may include LPG Endermologie®, ElixirMD Light Therapy, 111SKIN skincare or Dr Yannis Alexandrides’ Dramatic Healing Serum, selected according to your individual skin, tissues and surgical plan.

Our care continues well beyond your procedure. Following Revision Rhinoplasty, our clinical team will monitor your healing through scheduled reviews, with particular attention to swelling, nasal healing, breathing where relevant and the developing shape and structure of the nose.

You will receive personalised guidance on splint care, sleeping position, skincare, activity and protecting the nose during recovery. Where appropriate, an IV drip or other post-operative support may also form part of your individual aftercare programme.

As your recovery progresses, Dr Yannis Alexandrides and our clinical team will review your nasal shape, symmetry, structural stability, facial balance and overall healing at scheduled follow-up appointments.

Where appropriate, LPG Endermologie®, ElixirMD Light Therapy, personalised skincare or selected treatments may be recommended to support tissue quality, scar maturation where relevant and the continued refinement of your result.

Procedure

How does Revision Rhinoplasty work?

Revision Rhinoplasty works by carefully evaluating previous surgical changes, scar tissue and structural integrity before rebuilding the nose using advanced reconstructive techniques. Depending on your needs, this may involve removing scar tissue, correcting asymmetry, rebuilding weakened support, refining the tip or restoring projection. Where additional structural support is required, cartilage grafts from the septum, ear or rib help rebuild a stable framework. Ultrasonic Piezo technology may also be used to reshape the nasal bones with exceptional precision.

UNDERSTANDING REVISION COMPLEXITY:

Revision surgery involves tissues that have already healed from previous surgery.
Scar tissue, altered cartilage and previous grafts change the normal anatomy.
This requires considerably greater surgical planning than primary Rhinoplasty.

WHY REBUILDING MATTERS:

Revision Rhinoplasty often requires rebuilding rather than reducing the nose.
Cartilage grafts restore support and recreate contours altered during previous surgery.

The objective is a nose that feels stable, functions properly and looks naturally balanced.

Procedure

Surgical Techniques & Technology

Open Revision Rhinoplasty

Provides complete visual access to release scar tissue, assess previous grafts and rebuild structure with precision.

Cartilage Grafting

Rebuilds weakened support using cartilage from the septum, ear or rib depending on your needs.

Piezo Ultrasonic Technology

Allows exceptionally precise reshaping of the nasal bones while minimising trauma to soft tissue.

Scar Tissue Release

Carefully releases and corrects scar tissue affecting appearance or function from previous surgery.

Functional Airway Correction

Addresses breathing difficulties caused by previous surgery alongside cosmetic refinement.

Digital Imaging Consultation

Reviews previous operative reports and imaging to inform a safe, predictable reconstructive plan.

Your Journey

The 5-Step Process

Consultation

A comprehensive assessment with Dr Yannis Alexandrides of your previous rhinoplasty, current nasal anatomy, concerns and desired result to determine the most appropriate revision approach.

1

Preparation

Pre-operative health assessment, review of your previous nasal surgery and personalised guidance on nutrition, lifestyle, skin and tissue preparation.

2

Surgery

Revision Rhinoplasty performed under TIVA Anaesthesia, using a surgical approach tailored to your existing nasal anatomy, previous surgical changes and individual treatment goals.

3

Recovery

Personalised post-operative guidance and structured clinical reviews as swelling subsides, the tissues heal and the revised nasal contours gradually begin to emerge.

4

Long Term Care

Ongoing clinical review, personalised skincare and selected treatments where appropriate to support tissue quality and the continued refinement of your result.

5

Your Journey

Recovery Timeline

1–2 Weeks

Initial swelling, bruising and tenderness progressively subside as the nose begins to heal. Your nasal splint will be removed as advised by your surgical team, and you will receive personalised guidance on proper skincare, nasal care, sleeping position and protecting the nose during this early stage of recovery.

2–6 Weeks

Swelling continues to reduce and the revised shape of the nose gradually becomes more visible. Our Lead Nurse will explain how to tape your nose correctly at night to help reduce swelling and support the tissues as they continue to settle. Everyday activity can progressively increase, with exercise gradually reintroduced according to your recovery and the guidance of your surgical team.

6 Weeks–6 Months

The nasal tissues continue to heal and settle, with the bridge and tip becoming progressively more refined. Because Revision Rhinoplasty involves previously operated tissues and existing scar tissue, refinement can be gradual and your progress will continue to be monitored at scheduled follow-up appointments.

6–12 Months

The longer-term shape of the nose becomes increasingly established as swelling resolves and the tissues continue to mature. Following Revision Rhinoplasty, subtle refinement can continue beyond 12 months depending on the extent of surgery, previous procedures and individual healing.

Long-Term Care

Revision Rhinoplasty is designed to provide a long-lasting improvement to the shape, structure and proportions of the nose. Ongoing clinical review, sun protection and appropriate skincare can help support skin and tissue quality as your result continues to mature.

Your Journey

Post surgery activity guidelines

Shower

48 HOURS

Keep the splint dry and avoid blowing your nose.

Driving

2 WEEKS

Resume when comfortable, alert, your nasal splint is removed and you are no longer taking strong pain relief.

Work

10-14 DAYS

Timing depends on your role, swelling and confidence returning to work.

Exercise

6 WEEKS

Light exercise after 3 weeks, with full exercise once cleared by your surgeon.

Suitability & Safety

Am I suitable for Revision Rhinoplasty?

Ideal Candidate Profile

Revision Rhinoplasty may be suitable for patients who: – Remain unhappy with the cosmetic result of a previous Rhinoplasty – Have developed asymmetry, bumps or contour irregularities – Feel their nose has become over-reduced or over-rotated – Have a collapsed bridge or weakened nasal structure – Experience breathing difficulties following previous surgery – Require secondary or tertiary Rhinoplasty after multiple procedures Generally recommended at least 12 months after your previous operation, once tissues have fully settled.

Risks & Complications

As with any surgery, risks may include bleeding, infection, bruising, swelling, altered sensation, scarring, asymmetry, breathing changes, delayed healing and anaesthetic risks – often with added complexity due to previously operated tissue. These risks are discussed in detail during consultation, alongside the steps taken to reduce them through careful planning, surgical technique and aftercare.

Your Surgeon

Dr Yannis Alexandrides

Dr Yannis Alexandrides is one of the UK’s leading facial plastic surgeons with over three decades of experience in complex facial surgery. His specialist training in craniofacial and reconstructive surgery provides the advanced anatomical understanding required to safely manage even the most challenging revision cases. Every procedure is performed exclusively by Dr Yannis, with every surgical plan centred on restoring natural facial harmony rather than simply correcting isolated imperfections.

Pricing

Overview

Every patient and procedure at 111 Harley St. is unique, which is why surgical pricing is tailored to your individual case rather than based on a one-size-fits-all approach.

The cost of your procedure will depend on factors such as your anatomy, the complexity of surgery, the technique required and your personalised treatment plan.

Following your consultation and assessment, our team will provide a clear, individualised quotation based on the surgery recommended for you.

Finance Calculator

Loan Amount: £5,000

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Term: 12 months

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First Payment

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*Interest rates are subject to status and individual credit score.

Resources

Reviews

     
 
 
      Posted on Google  
   
   Ellie Hook 
 3 September 2026
 
 
  I came to the 111 Harley Street for UltraClear laser treatment with Claudia Brand. She was absolutely incredible, talking me through the process and made me feel very safe. She was also brilliant throughout the process. I cannot wait to see my result! Thank you Claudia!
  
 
     Posted on Google  
   
   Jenna Nicholls 
 2 September 2026
 
 
  Really lovely team - thank you Anna and Jamy for looking after me during treatment! Can’t wait for the results 🥰
  
 
     Posted on Trustindex  
   
   Edward Smith 
 31 August 2026
 
 
  Very Impressed With My Rhinoplasty I had been unhappy with the shape of my nose for years and finally decided to look into rhinoplasty. Choosing the right surgeon and clinic was extremely important to me, so I spent a lot of time researching before booking my consultation at 111 Harley St. The consultation was detailed and reassuring, and I appreciated the focus on achieving a result that suited my face rather than simply changing my nose. The whole process was handled professionally, from the initial consultation through to the follow-up appointments. My nose now looks much more balanced with the rest of my face, and the improvement is significant without looking artificial.
  
 
     Posted on Google  
   
   Louise F 
 28 August 2026
 
 
  I had my consultation with Anna and honestly couldn’t have been happier with the experience. She took the time to really listen to all of my concerns and went through everything with me in so much detail, including the different treatment options. I really appreciated how thorough and attentive she was, and the whole consultation felt very personal and tailored specifically to me rather than a one-size-fits-all approach. I felt really comfortable and well looked after. I’m really happy with the experience and will definitely be coming back for my treatment. Thank you so much, Anna!
  
 
     Posted on Google  
   
   Mily Barnett 
 27 August 2026
 
 
  Spoke to Anna about all my skin concerns over a consultation - she was super helpful, knowledgeable and can’t wait to start my journey with 111 Skin. Thank you Anna.
  
 
     Posted on Google  
   
   Mia Raggett 
 25 August 2026
 
 
  Had a lovely consultation with Anna, helped me so much with my questions and was very friendly. Thanks!
  
 
     Posted on Google  
   
   Yasmine Rabah 
 20 August 2026
 
 
  Just did the thermale treatment and the whole experience with the staff and the treatment and care has been superb. I highly recommend. Will let you know how it goes with the other treatments that I will do:)
  
 
     Posted on Google  
   
   Kat M 
 19 August 2026
 
 
  Fantastic facial with Jamy and consultation with Anna. Would 100% recommend!
  
 
     Posted on Trustindex  
   
   Rosie Walker 
 17 August 2026
 
 
  A Wonderful Experience I decided to explore a Y Facelift after becoming increasingly unhappy with the loss of definition around my lower face. I was initially quite nervous about having facial surgery, so having a detailed consultation was really important to me. Everything was explained clearly and I felt comfortable asking lots of questions. I’m so pleased with the outcome my face looks fresher and more defined, but it still looks completely like me.
  
 
     Posted on Google  
   
   Anna 
 10 August 2026
 
 
  Amazing experience with Claudia. I was really nervous but she put me at ease and explained the process to me. I would definitely recommend coming here for all aesthetic treatments!
  
 
     Posted on Google  
   
   Altay Ali 
 7 August 2026
 
 
  Claudia Is always amazing, and I would highly recommend her services.
  
 
     Posted on Google  
   
   Robert White 
 4 August 2026
 
 
  Claudia was amazing! Really friendly, polite and professional. Will 100% be coming back.
  
 
     Posted on Trustindex  
   
   Jessica Thomas 
 4 August 2026
 
 
  The Best Decision I Made I had a facelift at 111 Harley Street. From my very first consultation, I felt completely comfortable and confident that I was in safe hands. The surgeon took the time to understand what I wanted to achieve and explained every stage of the process clearly, from the operation itself to the recovery and expected results. The care I received was outstanding from start to finish. Every member of the team was kind, professional, and incredibly supportive. They were always available to answer any questions, and I felt genuinely looked after throughout my entire journey. Now that I've fully recovered, I am absolutely delighted with the results. I look refreshed, younger, and far more confident, while still looking completely natural. The best compliment I've received is that people keep telling me I look really well without realising I've had surgery. It's exactly the subtle, natural result I was hoping for. Choosing 111 Harley Street was one of the best decisions I've made. The expertise, attention to detail, and exceptional aftercare exceeded all of my expectations. I would wholeheartedly recommend them to anyone considering a facelift.
  
 
     Posted on Google  
   
   Hannah Lucy 
 31 July 2026
 
 
  I had a consultation with Anna who was so knowledgeable and extremely friendly. The team were welcoming and I look forward to starting treatment.
  
 
     Posted on Google  
   
   Aashika Balaji 
 31 July 2026
 
 
  Claudia is excellent and incredibly intuitive
  
 
     Posted on Google  
   
   William Julian Taranu-Lee 
 29 July 2026
 
 
  Had such a lovely consultation at 111 Harley St. I felt so welcomed and comfortable in their hands, and really appreciated their honest cosmetic advice. Would absolutely recommend having a consultation at 111 Harley St. You won’t regret it :)
  
 
     Posted on Google  
   
   Bilgi P 
 28 July 2026
 
 
  +0
I had plastic surgery from doctor Ashvani in 2019 and he messed up my tummy completely. I lost all my sensation in my tummy area and after 7 years, I still regret of having tummy tuck with him. He stitched my whole tummy tuck area without leaving drainage after the operation. I ended up having this massive hole in my tummy area. I have the most horrible scars and I don’t wear bikini for not showing my belly button. You can see how bad his stitches are from the photo. Please do your research before you trust him so you don’t regret like I did. My friend had similar operation in Turkey and you would not even notice she had plastic surgery.my advice is  go to Turkey to have proper plastic surgery with surgeons who knows how do operate.
  
 
     Posted on Google  
   
   Georgia Westley 
 28 July 2026
 
 
  Had a consultation with Anna who helped with my skin concerns, she helped advice on treatments and products to support on my hyper pigmentation and dryness. Would highly recommend
  
 
     Posted on Google  
   
   Chloe L 
 27 July 2026
 
 
  Really pleased with my consultation with Anna. She explained everything clearly, and the skin scanning was very insightful. Everyone was warm and friendly – I’d highly recommend.
  
 
     Posted on Google  
   
   Zara Walsh 
 27 July 2026
 
 
  Thank you so much, great experience!
  
 
 
  
 
 
   Trustindex rating score: 4.9 of 5, based on 856 reviews,showing our latest reviews

Resources

Frequently Asked Questions

Why is Revision Rhinoplasty more complex than primary Rhinoplasty?

Revision surgery involves operating on tissues that have already healed from previous surgery. Scar tissue, altered anatomy and reduced structural support require considerably greater surgical planning and technical precision than primary Rhinoplasty.

When can I have Revision Rhinoplasty?

In most cases, Dr Yannis Alexandrides recommends waiting at least 12 months after your previous Rhinoplasty. This allows swelling to fully resolve and tissues to mature before further surgery is considered.

Will I need cartilage grafts?

Not every patient requires grafting, but structural support is commonly needed during Revision Rhinoplasty. Where necessary, cartilage may be taken from the nasal septum, ear or rib to rebuild the nose safely and achieve a stable long-term result.

Can Revision Rhinoplasty improve breathing?

Yes. Many patients seek revision surgery because they experience breathing difficulties following previous Rhinoplasty. Functional correction can often be performed alongside cosmetic refinement to improve both appearance and nasal airflow.

Will my scars be visible?

In most cases, incisions heal extremely well. Where an open approach is used, the small incision across the columella typically becomes very difficult to detect once fully healed.

How long do the results last?

Revision Rhinoplasty is intended to provide permanent structural correction. While the nose continues to age naturally like the rest of the face, the improvements achieved through surgery are designed to be long-lasting.

Is Revision Rhinoplasty more painful?

Most patients report discomfort rather than significant pain. Recovery is often slightly longer than after primary Rhinoplasty due to the additional reconstructive work, but pain is usually well controlled with routine medication.

Why choose a surgeon who specialises in reconstructive facial surgery?

Revision Rhinoplasty combines cosmetic artistry with complex structural reconstruction. Dr Yannis Alexandrides’ extensive background in craniofacial and reconstructive surgery provides the expertise required to manage difficult revision cases while prioritising both aesthetic excellence and long-term function.