Procedure
Revision rhinoplasty
Correction after a previous nasal operation. The tissue has already been changed, so the plan is different from that of a primary procedure.
When it is considered
Revision rhinoplasty in Zagreb is considered because of a shape that does not belong to the face, a breathing problem after an earlier procedure, asymmetry, a collapsed bridge or tip, or scar tissue. It is not a second attempt at the same operation. The anatomy is different, reserve material is smaller, and the skin remembers the first incision.
It is not done while the nose is still changing shape. As a rule one waits at least 12 months from the previous operation, unless there is a reason for earlier intervention. The first operation, if it still lies ahead, is described on the primary rhinoplasty page. Primary rhinoplasty
What the examination must show
How much cartilage remains, what the skin is like, whether the nose breathes and what is realistic to repeat. Sometimes a smaller correction of the tip or bridge is enough. Sometimes support must be reconstructed. Sometimes the honest answer is that a further procedure will not bring what you expect.
Bring what you have: old records, a CT scan, photographs from before the first operation. The examination still rests on the present nose, not on the memory of it.
Common reasons for coming
A remaining hump or a new irregularity of the bridge. A tip that has dropped, become pointed or asymmetrical. A nose that breathes poorly after the first operation — often the valve, not “just swelling”. Collapsed nasal bones, a wide or unstable middle vault, a visible columellar scar that bothers. Each of these findings pulls a different plan.
A “before” photograph helps to understand what the starting point was. It does not decide what may be touched now. Skin that is already thin or scarred does not tolerate aggressive thinning. That is a limit, not an excuse.
Grafts
If the septum no longer gives enough firm cartilage, a graft is taken from the ear (concha) or, less often, from the rib. The ear leaves a small, usually hidden scar. The rib is considered when more material or stronger support is needed. That is not a standard add-on — the decision is surgical, after the examination.
Expectations
Revision is more demanding and less predictable than primary rhinoplasty. Healing is slower, swelling at the tip lasts longer, and scar tissue can pull the shape even months after the procedure. The aim is improvement, not a guarantee of “correcting” everything that bothers you.
Recovery follows the same frame as a primary procedure, but the pace is often slower. The calendar is on the recovery page. Revision and reconstruction with a graft are usually more expensive than a primary correction because they take longer and require more material. Recovery · Fees
Common questions
What if I have already had surgery and I am not satisfied?
Revision is not a repeat of the same operation. The tissue has already been changed, scar tissue changes the plan, and there is often no longer enough cartilage on the septum. That is why one waits, as a rule, at least a year from the previous procedure, unless breathing or a complication require an earlier examination. Bringing old records helps, but the decision rests on the present findings. The aim is improvement, not the erasure of everything that bothers you. If the skin, support or expectation do not allow a new procedure, you will hear that at the consultation.
Why can I not breathe after an earlier rhinoplasty?
A common reason is narrowing of the internal valve, an overly aggressive lowering of the bridge, or a septum that was not addressed, and sometimes a scar in the nasal passage. From the outside the nose may look tidy, yet air still does not pass. That is why the examination includes endoscopy, not only a comparison of photographs. Sometimes support must be restored with a graft, sometimes the septum or turbinates must be corrected. If the lining or a sinus is the main problem, a new rhinoplasty will not resolve it. The plan is drawn from the findings, after the tissue has settled.
This website is for information only and does not replace a medical examination, diagnosis or advice. Any decision about surgery is made after an in-person assessment and a discussion of expected outcomes, possible complications and alternatives. In an emergency, contact emergency medical services or call 194 or 112.