Complete Nose Revision – To Overcome Failed Rhinoplasty

At Gangwhoo Hospital in Vietnam, repairing a damaged nose is made safer and more effective thanks to endoscopic microsurgery using rib cartilage. This advanced technique helps correct common complications like a deviated nose, red shining skin, or even exposed implants.

Backed by a team of highly experienced surgeons and cutting-edge technology, the result is a nose that looks natural, feels comfortable, and most importantly — gives you back your confidence.

What Exactly Is a Botched Nose Job – And When Should You Get It Fixed?

Rhinoplasty is one of the most popular cosmetic procedures out there – it helps enhance facial balance by reshaping the nose. But let’s be real: not every nose job turns out the way we hoped. In fact, a “botched” or failed nose job can lead to both aesthetic and health concerns.

1/ So, what does a failed nose job look like?

If you’re noticing any of the following, it could be a sign that your rhinoplasty didn’t go quite right:

Your nose looks crooked or uneven after surgery
There’s redness or even the bridge is showing through due to thin skin or poorly chosen cartilage
You’re dealing with pain, swelling, or even infection that won’t go away
The shape just feels… off. Maybe it’s too high, too low, or simply doesn’t suit your face
There are visible scars, or the tip is overly short and turned up – usually from cartilage being placed incorrectly

These issues don’t just affect your appearance – they can also impact your overall nose function and health. If any of this sounds familiar, it’s definitely time to consult with a specialist.

2/ When should you consider a revision surgery?

Whether or not you should get your nose redone depends on how serious the issue is – and how much time has passed since your last procedure. Here’s a breakdown to help you figure things out:

• Severe infection: If your nose is red, swollen, leaking pus, or shows signs of tissue damage (necrosis), you’ll need immediate care to prevent serious complications
• Red, exposed nose bridge: Often caused by too much cartilage or thin skin. If left untreated, it can lead to skin perforation
• Serious asymmetry or breathing trouble: A clearly deviated or collapsed nose can affect both your look and function
• Cartilage shrinkage or a short, upturned tip: These are red flags for structural problems and should be addressed sooner than later

When you can wait and monitor:

• A slightly off-center nose bridge that isn’t bothering you much
• A shape that’s just not quite what you wanted (maybe a bit too flat or not fitting your face) – in these cases, it’s okay to wait 6 to 12 months before considering revision
• Post-surgical scarring – which can sometimes be improved with non-surgical treatments like laser therapy

3/ Can you safely fix a botched nose more than once?

While it is possible to have more than one nose job, it’s important to know that each surgery weakens the nasal structure a little more – especially if it wasn’t done properly before. Multiple revisions can lead to tissue damage, skin thinning, or even permanent deformities.

If you’ve already had 2–3 surgeries and still aren’t happy with the results, take a step back. Talk to a truly experienced specialist, and only proceed if there’s a clear, safe, and well-thought-out plan. Sometimes, less really is more when it comes to rhinoplasty.

Causes of damaged nose after rhinoplasty

Due to poor medical skills – Surgical errors

The doctor’s skill is the factor that determines 80% of the success of a nose job. If the doctor lacks experience and performs the wrong technique, the risk of complications is very high.

Common mistakes in surgery due to inexperienced doctors:

• Wrongly placed cartilage causes the nose to be crooked after surgery.
• Improper incision technique can damage nasal tissue and lead to infection.
• Choosing a nose shape that does not match the face will result in an inharmonious result.
• Failure to properly assess the condition of the nose skin, leading to exposed waves and red shine.

Due to poor quality or incompatible artificial cartilage

Choosing the wrong nose augmentation material is also one of the reasons why the nose is damaged.

Risks of using poor quality cartilage:

• The cartilage is hard and not soft, making the nose look unnatural.
• Cartilage is not compatible with the body, causing rejection.
• Cartilage that is too thick or too hard can easily cause the bridge of the nose to become exposed and the tip of the nose to become red and shiny.

Due to the body’s reaction to cartilage rejection

Each person has a different constitution, and in some cases the body does not accept artificial cartilage , causing rejection.

Signs that the body is rejecting cartilage:

• Prolonged nasal inflammation that does not subside after surgery.
• Redness, pain, tension in the nose area, signs of cartilage pushing out.
• The nose is deformed and the cartilage shrinks over time.

Improper postoperative care causes infection

Post-operative care plays a very important role in keeping the nose shape stable and avoiding complications.

Cases requiring revision of damaged nose after rhinoplasty

After rhinoplasty, if you encounter the following cases, you should seek a reputable address to have a revision rhinoplasty performed:

Redness and shine at the tip of the nose, exposed nasal dorsum

This is a common occurrence when using artificial cartilage or tip rhinoplasty with autologous cartilage. When the nasal skin is thin and the nasal dorsum is placed too high or too long, combined with excessively hard cartilage material, it puts pressure on the skin and leads to problems such as exposed nasal dorsum, tightness, and redness and shine at the tip of the nose.

Deviated, crooked, deformed nose

This condition is quite common after rhinoplasty. This is due to incorrect surgical techniques in rhinoplasty, inaccurate placement of the implant by the doctor, or injury during postoperative care. Uneven underlying bone structure can also cause the nose to become deviated.

Short, upturned, unbalanced nose

Due to the natural characteristics of Vietnamese noses, which are often quite low and short, after rhinoplasty with artificial cartilage or tip rhinoplasty with autologous cartilage, the nose may contract and become shorter. In particular, a nose infection after surgery can cause this condition.

Infected, pus-discharging nose

This is a rare but very dangerous complication after rhinoplasty. Infection can be caused by the doctor’s skills, environmental conditions during surgery, or the patient’s postoperative care. Common symptoms include prolonged redness and pain, and discharge of foul-smelling pus.

Unsatisfactory nose shape

In some cases, after rhinoplasty, the height, length, or shape is not as desired. Customers may want to readjust to achieve a result that better suits their expectations.

Risks if damaged nose is not revised promptly

Affects aesthetics & personal confidence

The shape of the nose greatly determines the overall appearance of the face. When the nose is deviated, crooked, has an exposed dorsum, or redness and shine at the tip, the face becomes unbalanced, reducing natural beauty.
Many people who experience rhinoplasty complications become self-conscious, avoid appearing in public, and it affects their work and life.

Risk of prolonged infection, causing dangerous complications

When the nose shows signs of infection but is not treated promptly, bacteria can spread, causing tissue necrosis. At this point, treatment will become more complicated and there is a risk of long-term sequelae.

If rhinoplasty is performed with incompatible artificial cartilage, over time, the cartilage can pierce the nasal skin, causing an exposed dorsum and redness and shine at the tip of the nose. If this condition persists for a long time, it can seriously damage the nose.

A damaged nose that is not revised promptly can cause cartilage contraction, loss of the original nose shape, making recovery more difficult.

The sooner the damaged nose is revised, the higher the success rate

The golden time to revise a damaged nose

According to experts, the best time to revise a damaged nose is 6 – 12 months after the previous surgery. This is when the nasal tissues have stabilized, helping the revision surgery achieve a higher success rate.

Early nose revision makes it easier to restore the desired nose shape

When complications are not too severe, nose revision will be simpler, less invasive, and preserve a natural nose shape. If left for too long, the nasal structure will be more damaged, and the recovery process will be more complicated.

Save on revision costs

Revising a damaged nose when complications are still mild will be less expensive than dealing with severe complications later.

What is Endoscopic Micro-Surgical Rib Cartilage Revision Rhinoplasty Technology?

Endoscopic micro-surgical rib cartilage revision rhinoplasty at Gangwhoo Cosmetic Hospital will depend on the specific condition and extent of damage, and doctors will develop an effective treatment plan. However, for the most part, current techniques for revision rhinoplasty often involve the use of a combination of rib cartilage to restore and reconstruct the shape of the nose.

The autologous rib cartilage technique primarily uses the patient’s own rib cartilage, which is considered the optimal solution for failed surgeries or for those who wish to revise their nose with high durability and naturalness. This technique includes two methods, partial and total rib cartilage, which will be combined with 4K endoscopic equipment to minimize damage and micro-surgical suturing to ensure the wound does not leave unsightly scars.

Partial autologous rib cartilage revision: The doctor will flexibly combine rib cartilage and artificial cartilage to revise the nose shape, with the rib cartilage used for the nasal tip and artificial cartilage for the nasal dorsum. The nose will be structured with natural beauty, safety, and minimized rejection.

Total autologous rib cartilage revision: The doctor will use 100% rib cartilage to reconstruct both the nasal dorsum and the nasal columella. The results will offer high durability, harmonious beauty, and suitability for individuals needing a complete nasal reconstruction.

Advantages of Endoscopic Micro-Surgical Rib Cartilage Revision Rhinoplasty Technology

Natural compatibility, no rejection:

Rib cartilage is harvested from the patient’s own body, thus it does not cause rejection reactions or complications like artificial cartilage.

Complete restoration of nasal structure:

Not only does it help raise the nasal dorsum, rib cartilage can also reshape the nasal tip, columella, and completely correct cases of severe nasal contraction and deformation.

Reduced risk of exposed implant, redness and shine:

Compared to artificial cartilage, rib cartilage is softer, helping to reduce the risk of an exposed nasal dorsum and does not cause redness and shine at the tip of the nose.

Endoscopic technology enables precise, minimally invasive surgery:

Thanks to the endoscopic camera system, the doctor can operate accurately, helping to reduce swelling and pain, minimize soft tissue damage, and shorten recovery time.

Lifelong results:

Unlike some rhinoplasty methods that only last 5-10 years, rib cartilage has high durability, helping to maintain the nose shape for a long time without resorption over time.

Is it complicated to fix a broken nose after rhinoplasty?

Due to being through surgery at least once, so the structure of the broken nose was severely destroyed. Therefore, the nose revision technique is extremely complicated that demands to be performed by a highly skilled and experienced nose cosmetologist at a reputable beauty clinic.

Nose Revision Price List at Gangwhoo Cosmetic Hospital

Depending on the condition of the damaged nose, the Doctors will suggest the optimal treatment method and advise on suitable costs. Currently, Gangwhoo Cosmetic Hospital has a program to support 100% free revision rhinoplasty (depending on the case). Contact the Hotline: 19005128 for consultation and more details.

How long after a failed rhinoplasty can a revision be performed? How to determine the appropriate timing

1. How long after rhinoplasty can a revision be done if it fails?

The minimum time for a revision rhinoplasty is usually 3 to 6 months after the previous surgery. This is the period when the nose has stabilized and the soft tissues have fully recovered, allowing the doctor to accurately assess the condition of the nose and perform the revision surgery safely.

Note: Revision rhinoplasty should not be performed too early when the nasal tissues have not fully recovered, as it can damage the soft tissues, cause fibrous scarring, or affect the nasal structure later on.

2. Cases requiring immediate revision and cases requiring recovery time

If you experience serious complications after surgery, you need to be examined and treated by a doctor immediately:

• Acute infection: If there are signs of prolonged redness, purulent discharge, and fever, it may be a sign of severe infection. This case needs immediate treatment to avoid tissue necrosis.
• Nasal tip necrosis: If the skin of the nasal tip turns purplish-blue or blackish, the nose may be undergoing necrosis due to lack of blood supply. Timely intervention helps prevent long-term damage.
• Large hematoma, prolonged bleeding: Some cases of bleeding after surgery can lead to a large hematoma in the nasal cavity, causing pain and the risk of nasal deformity. See a doctor immediately for treatment.
• Cartilage piercing the nasal skin: If the artificial cartilage is pushed out, piercing the nasal skin, it needs to be removed as soon as possible to avoid infection and necrosis.

Cases Requiring Recovery Time Before Revision

If your nose does not have serious complications but only aesthetic problems or mild deviation, you should wait at least 3 to 6 months for the nasal tissues to stabilize before undergoing revision.

• Unsatisfactory aesthetic results (too high/too low): If the nose is not as desired but there are no complications, you need to wait for the nose to fully stabilize for a safe revision.
• Slightly deviated nasal dorsum without pain: Some cases of mild nasal deviation may self-correct over time. If it is still deviated after 6 months, the doctor will assess and advise on a correction plan.
• Redness at the nasal tip due to thin skin: If you have mild redness without an exposed implant, you can monitor it for another 3 to 6 months. If the condition does not improve, the doctor will suggest changing to a more suitable implant material.
• Nasal contraction due to previous surgery: In cases of nasal contraction or deformity, it is necessary to wait at least 6 months to 1 year for the scar tissue to stabilize before revision.

Performing a revision too early when the tissues have not fully recovered can cause more severe damage and affect long-term results. Therefore, listen to the advice of a specialist doctor to determine the safe and effective timing for revision rhinoplasty.

The Safe Endoscopic Micro-Surgical Rib Cartilage Revision Rhinoplasty Procedure at Gangwhoo Cosmetic Hospital

Step 1: Examination and consultation

The Gangwhoo doctor examines the cause and extent of the failed rhinoplasty, checks the nose and health status, advises on revision rhinoplasty methods, expectations and risks, and requests a computational AI X-ray.

Step 2: General health check-up

The doctor checks health indicators such as blood pressure, heart rate, oxygen saturation, blood sugar, liver, kidney, heart, respiration, and asks about medications or stimulants used before and after surgery.

Step 3: Nasal shape planning

The doctor uses a computer to create images of the current nose and the desired nose, explains the changes, limitations, and possibilities of the surgery, and notes that results may differ from the images due to skin, bone, muscle, tissue, and body reactions.

Step 4: Sterilization and anesthesia

The doctor sterilizes the nose and surrounding area and administers anesthesia for the patient’s surgery.

Step 5: Performing the revision of the damaged nose

The doctor uses techniques such as cutting, releasing, grafting, shaping, and fixing skin, bone, cartilage, septum, and mucous membrane to correct the failed rhinoplasty, making the nose harmonious, ensuring good breathing, and avoiding discomfort.

Step 6: Post-operative care instructions for revision rhinoplasty

The doctor provides instructions on nose care such as cleaning, avoiding touching, taking medication, applying cold compresses, sleeping on the side, avoiding heavy lifting and impacts, follow-up visits, suture removal, bandaging, and results evaluation.

Post-operative care instructions for revision rhinoplasty to promote rapid healing

Revision rhinoplasty is a cosmetic procedure aimed at correcting complications or an undesirable nose shape after a previous rhinoplasty. After revision rhinoplasty, you need to pay attention to nose care according to the following instructions:

• Drink enough water and eat a nutritious diet to boost immunity and support wound healing. Avoid spicy, hot, salty foods, stimulants, tobacco, and alcohol.
• Apply cold compresses to the nasal area for the first 48 hours to reduce swelling, pain, and bleeding. After that, apply warm compresses to the nasal area to stimulate blood circulation and speed up the recovery process.
• Take antibiotics, pain relievers, and anti-inflammatory medications as prescribed by your doctor. Do not use medications or apply ointments to the nasal area without your doctor’s consent.
• Maintain good oral hygiene, but avoid vigorous rinsing. Do not spit forcefully, sneeze, blow your nose, or touch your nose.
• Sleep on your side or sit upright; do not sleep on your back or stomach. Elevate your head when sleeping to reduce pressure on the nose.
  Wear a nasal splint as directed by your doctor. Do not touch, remove, or drop the splint.
• Avoid exposure to sunlight, dust, high temperatures, and strong impacts to the nose. Do not exercise, play sports, do heavy work, or travel long distances during the recovery period.
• Attend follow-up appointments and have your sutures removed as scheduled by your doctor. Notify your doctor immediately if you experience abnormal signs such as high fever, excessive nasal bleeding, nasal infection, or nasal deformity.

Where should you choose for reputable revision rhinoplasty?

A reputable address for revision rhinoplasty is where skilled revision rhinoplasty surgeons work. Gangwhoo Cosmetic Hospital, where Doctor CKI Phung Manh Cuong is currently working, is the top choice for customers wishing to undergo revision of a failed rhinoplasty to regain the original beauty of their nose.

1. Skilled revision rhinoplasty surgeons

The team of doctors at Gangwhoo Cosmetic Hospital are experienced and specialized experts in revision rhinoplasty. Leading the Vietnamese-Korean doctor team at Gangwhoo is Doctor Phung Manh Cuong, who is currently the director of Gangwhoo Cosmetic Hospital with over 15 years of experience in revision rhinoplasty.

All doctors have undergone continuous training and obtained international certifications in cosmetic surgery. They also have many years of experience working at reputable hospitals both domestically and internationally, and constantly update new techniques and technologies in the field of revision rhinoplasty.

2. Quality of facilities

The hospital is equipped with modern facilities such as a 4K endoscopic system, Harmonic scalpel, Laser scalpel, microsurgical techniques, computational AI X-ray, etc., ensuring safety and effectiveness for the revision rhinoplasty process.

In particular, Gangwhoo currently also applies robotic arm technology, which not only helps doctors perform sophisticated surgical procedures but also enhances safety. When applying this technology in rhinoplasty, the incision is smaller, with less swelling, pain, and minimal scarring. As a result, the aesthetic outcome achieved is also more perfect.

3. Painless revision rhinoplasty surgery

The hospital applies advanced and safe surgical anesthesia methods, ensuring that customers do not feel any pain during the revision rhinoplasty procedure. The hospital also uses antibiotics or anti-inflammatory drugs to prevent infection or sinusitis after surgery. The hospital also has measures to reduce swelling and pain, such as using cold compresses or skin-soothing creams.

In summary, revision rhinoplasty is a solution to help restore a beautiful and more confident nose shape. Therefore, don’t worry if you unfortunately experience a failed or flawed rhinoplasty that is not as desired. Don’t hesitate to connect with Gangwhoo Cosmetic Hospital for a FREE CONSULTATION if you still have many concerns or other questions about the service.