Tertiary Rhinoplasty and Other Difficult Revision Cases at S45 Clinic
Revision for difficult cases is an option for people with complex nasal structure problems, such as a nose that has gone wrong after augmentation, a misshapen shape, contracted scar tissue, tip extrusion or infection. These can lead to further problems, an unbalanced face, a loss of confidence and even breathing difficulties. Correcting the structure of the nose aims to ease these worries and help you feel happy and confident again.
Difficult Revision Rhinoplasty Cases at S45 Clinic
Which Noses With Problems From Earlier Surgery Can Be Revised
Revision for difficult cases covers complex nasal structure, a nose with serious problems after earlier augmentation, a misshapen shape, tip extrusion, inflammation and infection, an abnormal original nasal structure, or a nose that has had several revisions without getting better. This can lead to:
- a loss of confidence
- anxiety
- a feeling that there is little hope because the face looks unbalanced
A difficult case is not just about a nose that does not look good. It is a complex problem that can come from a rhinoplasty technique that went wrong, or from an abnormal original nasal structure.

Problems With Structure and Facial Balance
- Crooked, tilted or misshapen nose
- Thin tip with extrusion where the silicone implant shows
- Contracted, upturned or short tip with very visible nostrils
- Wide nasal base or high dorsal hump
- Chronic inflammation or infection
- Repeated revisions that still do not give a result you are happy with
Health Problems
- Narrowed nasal passages that make breathing difficult
- Complications from earlier surgery that leave thick scar tissue
- Abnormal septum
From Feeling Devastated to Finding Help Through Revision Rhinoplasty

At S45 Clinic we do more than restore the shape of the nose. We also redesign it to suit each person’s face and lifestyle, with the aim of helping you feel happier, easing the distress of feeling stuck and helping your confidence return. Care is provided by experienced surgeons who have treated many difficult cases, so assessment and planning are matched to the problem you have. This includes choosing suitable implant materials and surgical techniques for the correction, and advice and care from the start through to self-care after rhinoplasty.
How to Prepare for Revision Rhinoplasty at S45 Clinic

- Tell us about your earlier rhinoplasty (how many revisions you have had, the dates of each revision or augmentation, and the techniques and materials used, if you know them)
- The problems you have and any concerns
- What you want and the nose shape you have in mind
- Any long-term conditions or other health problems, including breathing problems
- Photos from before your earlier rhinoplasty
The surgeon will assess the problem in detail, carry out an initial examination of the nasal structure and plan surgery that suits you. In difficult cases, the surgeon may consider the following:
- removing the old structure before a new rhinoplasty
- using your own tissue or cartilage, such as rib cartilage, dermofat graft from the tailbone area or ear cartilage
- open rhinoplasty
Problems From Earlier Rhinoplasty or Health Problems Can Be Assessed for Correction
Difficult Revision Rhinoplasty Review
Frequently Asked Questions About Difficult Revision Rhinoplasty
What Materials Are Used in Revision Rhinoplasty?
The surgeon will assess each person’s problem in detail. In general, materials from your own body are recommended to lower the chance of the body rejecting a foreign material and of infection.
After Difficult Revision Rhinoplasty at S45 Clinic, Might I Need Another Revision?
The chance of solving the problem depends on how severe the original problem is. The surgeon takes great care in choosing a suitable rhinoplasty technique and implant material, and experience with many difficult cases helps lower the chance of needing another revision for the same problem, unless you want to change to a new shape.
How Long Is the Recovery After Difficult Revision Rhinoplasty?
Recovery time depends on each person and on how complex the surgery is, but it generally takes 1 to 2 weeks. Swelling and bruising then go down and gradually improve over time.
How Much Does Difficult Revision Rhinoplasty Cost?
Difficult revision rhinoplasty costs more than standard rhinoplasty. The surgeon considers how complex the nasal structure is, the most suitable technique and any surgery needed to correct other problems caused by the earlier rhinoplasty or by health problems, so the price varies.
Note: Revision rhinoplasty, which many people know as ‘nose correction’, is surgery for people who have had nose surgery before and need further assessment by a surgeon. Care depends on the original problem, the structure of the nose and the surgeon’s judgement in each case.



















