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You were hopeful and excited. You did your research, selected a surgeon, and underwent rhinoplasty expecting a transformation—only to be disappointed with the results. Maybe your nose still doesn’t look quite right in photos, or you feel like it doesn’t function like it used to.

Revision rhinoplasty is more common than you might think, with nearly 10% of patients opting for a second procedure to correct or improve the results of their primary surgery. Dr. Jeffrey Lisiecki, a board-certified plastic surgeon in the Upper East Side, specializes in complex aesthetic procedures—including revision rhinoplasty—and is known for delivering natural, elegant results tailored to each patient’s unique facial structure.

Here are five signs that may indicate it’s time to consider a revision.

1. Your nose looks asymmetrical or off-center

After full recovery from rhinoplasty, your nose should appear balanced and symmetrical, enhancing the overall harmony of your facial features. But if your nose looks uneven, off-center, or poorly shaped, you may need a revision. Asymmetry could result from surgical miscalculations, healing complications, or even shifts in cartilage post-surgery.

You might notice that one nostril appears larger, the nasal bridge leans slightly to one side, or the tip doesn’t align properly with the center of your face. These visual cues often become more noticeable over time as swelling resolves. Dr. Lisiecki performs revision rhinoplasty with a meticulous eye for balance and symmetry, creating results that enhance natural beauty.

2. Your results don’t look natural

If your nose doesn’t look like it “belongs” on your face or draws unwanted attention, something may be off with your initial surgery. A nose that looks overdone, overly sculpted, or misshapen can undermine your self-confidence and make your rhinoplasty obvious to others.

Common unnatural results include:

  • A pinched tip, where too much cartilage has been removed
  • A short or upturned nose, giving a stubby or exaggerated appearance
  • Visible irregularities such as bumps, dips, or contour issues

Dr. Lisiecki uses advanced surgical techniques and a comprehensive understanding of facial anatomy to revise these concerns. His approach emphasizes subtlety and precision, ensuring your nose complements your features and looks refined, not “done.”

3. You are disappointed in your overall results

Sometimes, the problem isn’t a dramatic flaw—it’s the subtle, persistent feeling that your results didn’t meet your true expectations. Maybe your new nose technically aligns with what was discussed, but it doesn’t fit the way you hoped.

This kind of dissatisfaction is valid. Rhinoplasty is not a one-size-fits-all procedure, and small details like nostril shape, nasal tip projection, or the angle between your nose and upper lip can have a big impact. Dr. Lisiecki listens carefully to your concerns, evaluates the nuances of your facial structure, and works collaboratively to craft a surgical plan that truly reflects your vision.

4. You’re having trouble breathing or experiencing nasal discomfort

While many people focus on the aesthetic goals of rhinoplasty, the nose’s function is just as critical. If your original surgery led to breathing difficulties, frequent congestion, or other sinus issues, these may be signs that internal structures were compromised due to collapsed nasal valves, misaligned septum adjustments, or excessive removal of supportive cartilage.

Revision rhinoplasty isn’t just about appearance—it can also restore proper nasal function. Dr. Lisiecki has the surgical expertise to correct structural issues while maintaining or enhancing the nose’s external appearance. In fact, functional improvements often go hand-in-hand with aesthetic refinements, helping you look and feel better every day.

5. You suffered an injury after your rhinoplasty

Even if your initial rhinoplasty results were great, accidents happen. A sports injury, a fall, or even mild trauma during recovery can damage the delicate cartilage and bones that were carefully sculpted during surgery. Post-surgical noses are especially vulnerable in the first year and can shift or deform easily from unexpected impact.

If you’ve experienced an injury after your first rhinoplasty and noticed changes in shape, function, or both, revision surgery may be necessary to restore your original outcome or improve upon it. Dr. Lisiecki is highly skilled in reconstructive techniques and can assess the cosmetic and functional consequences of the trauma to ensure a comprehensive correction.

Trust your face to a rhinoplasty expert

Revision rhinoplasty is more complex than a primary nose job—it requires a higher level of surgical skill, an artistic eye, and a deep understanding of facial anatomy. Dr. Jeffrey Lisiecki, a board-certified plastic surgeon trained at the University of Michigan and the prestigious Dallas Plastic Surgery Institute, brings all of these qualities to his Manhattan-based practice.

If you’re unhappy with your rhinoplasty—whether due to appearance, function, or injury—Dr. Lisiecki is here to discuss your goals. His commitment to natural, balanced outcomes makes him a trusted choice for patients seeking expert revision surgery. Schedule a consultation to explore how Dr. Lisiecki can help you love your look and breathe easier.

Schedule a Consultation (212) 680-4626