Revision Rhinoplastyin Sarasota

When a prior rhinoplasty leaves you dissatisfied or experiencing breathing issues, Revision Rhinoplasty provides expert correction.

Expertly Correcting Complexities in Nasal Surgery

At Holcomb–Kreithen Plastic Surgery & Medspa, Revision Rhinoplasty is entrusted to Dr. J. David Holcomb, a double board-certified facial plastic surgeon deeply committed to patient-centered care. With more than 20 years of experience, he approaches each case with empathy and meticulous attention, helping patients regain confidence in their appearance and comfort in their breathing.

What Is Revision Rhinoplasty?

Revision Rhinoplasty, also called secondary rhinoplasty, is a specialized procedure performed to improve the appearance and function of the nose after a prior surgery. These cases are often more complex than primary rhinoplasty because of:

Scar tissue that alters natural nasal planes
Changes in anatomy caused by earlier surgical adjustments
Limited cartilage availability, requiring careful reconstruction

Dr. Holcomb may use cartilage grafts from the septum, ear, or rib to restore balance and stability. Doing so reinforces weakened nasal structures to improve airflow and refine contours.

Benefits of Revision Rhinoplasty in Sarasota

Enhances balance between the nose and surrounding features for a more proportionate appearance
Reinforced internal structures reduce the risk of collapse, obstruction, or future breathing problems
Corrects irregularities such as asymmetry, tip distortion, or dorsal irregularities left from the first surgery
Helps patients move past the frustration of unsatisfactory outcomes and regain confidence in their appearance
Structural grafting techniques create stability that supports both cosmetic and functional results over time

Are You a Good Candidate for Revision Rhinoplasty?

You may be an ideal candidate if you:

Have healed at least 12 months from your previous rhinoplasty, allowing scar tissue and swelling to stabilize
Experience ongoing cosmetic or functional concerns, such as asymmetry, irregular contour, or nasal obstruction
Are in good overall health
Have sufficient donor cartilage (septum, ear, or rib) available if grafting is required for reconstruction
Don’t smoke or are willing to stop smoking before and after surgery to promote healing and reduce complications

Why Choose Holcomb–Kreithen for Revision Rhinoplasty?

Dr. J. David Holcomb’s Expertise: He is double board-certified in Facial Plastic and Reconstructive Surgery and Otolaryngology. His reputation for meticulously handling complex revision cases makes him a trusted choice for those needing the highest surgical precision.
Recognition & Leadership: Beyond his technical mastery, Dr. Holcomb is widely recognized as a leader in the field. He has been named a Castle Connolly Top Doctor, served as president of the Florida Society of Facial Plastic & Reconstructive Surgery, and has been a principal investigator in FDA clinical trials exploring advanced surgical and laser technologies.
Safety & Accreditation: Holcomb–Kreithen Plastic Surgery & Medspa procedures are performed in a QUAD A-accredited surgical suite. This certification reflects adherence to the most rigorous national standards of outpatient surgical care. In addition, Dr. Holcomb maintains active hospital affiliations, offering patients seamless access to comprehensive medical support if needed.

Schedule a Consultation

Your Consultation

During your consultation, Dr. Holcomb will take time to review your medical history, details of any prior nose surgeries, and your current concerns. Using advanced assessment techniques, including a thorough examination of the nasal structures and a discussion of donor cartilage availability, he creates a personalized surgical plan tailored to your needs. You’ll also receive a transparent cost estimate and information about financing options to help make treatment accessible. Because revision rhinoplasty is more technically complex than a primary procedure, pricing can vary depending on the extent of reconstruction required, the need for cartilage grafting, and the overall surgical time involved.

The Procedure

Revision rhinoplasty is performed under general anesthesia in our private, accredited surgical suite. Once anesthesia has taken effect, Dr. Holcomb makes carefully placed incisions, most often through an open approach, to access the nasal framework with precision. This allows him to rebuild weakened areas, reposition cartilage, and refine contour irregularities as needed to achieve a balanced, natural-looking result. After surgery, a small splint is applied to protect the nose and support proper healing during the early recovery period. Most patients can expect gradual improvements over several weeks as swelling subsides and the nose begins to reveal its refined shape.

Recovery & Results

Generally speaking, expect the following:

First 1–2 weeks: Bruising and swelling improve; most patients resume normal activities after 7–10 days.
First 1–3 months: Swelling gradually subsides, breathing improves.
Up to 12 months: Final definition and refinement become visible as healing completes.

Let’s Move Forward Together

Choosing Revision Rhinoplasty often comes after disappointment, and Dr. J. David Holcomb understands the courage it takes to return for another surgery. He does not take your trust lightly and is honored to help you finally achieve your rhinoplasty goals. Contact Holcomb–Kreithen Plastic Surgery & Medspa today to book your consultation and learn more.

Revision Rhinoplasty FAQs

Is Revision Rhinoplasty riskier than a first rhinoplasty?

The overall risks are similar to primary rhinoplasty, including infection, bleeding, or changes in sensation. However, revision surgery carries added challenges due to scarring and reduced structural support, so choosing an experienced revision specialist like Dr. Holcomb is essential.

What happens if there is not enough cartilage for reconstruction?

In rare cases when septal, ear, or rib cartilage is unavailable or insufficient, other biocompatible grafting materials may be considered. Dr. Holcomb will discuss the safest and most effective options during your consultation.

How soon can I return to work or social activities?

Most patients are comfortable resuming daily activities within 7–10 days. Residual swelling can be present for weeks, but it is usually subtle enough that patients feel comfortable in social settings.

Can Revision Rhinoplasty be combined with other facial procedures?

Yes. Some patients combine their revision surgery with chin augmentation, eyelid surgery, or facial rejuvenation to create overall balance and harmony. Combined procedures are planned carefully to ensure safety and optimal results.