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Nose shape after revision rhinoplasty
Nose shape after revision rhinoplasty

Revision Rhinoplasty for a Crooked Nose, With a Shape That Suits Your Face

Had rhinoplasty but unhappy with the shape, or is your nose crooked or tilted, with the silicone implant pushing through the skin or scar tissue forming? From the outside, we cannot tell what the nasal structure is like, especially after a previous open rhinoplasty, which changes the internal structure of the nose. The nose needs to be opened to find the real problem.

“The right kind of beauty is not just an outward change, but comes from a deep understanding of proportion and balance”

Revision rhinoplasty before and after case at S45 Clinic
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Which Cases Need Structural Correction?

  • a short nose with little nasal tissue, where lengthening the nose requires correcting the internal structure
  • a tilted nose, where the structure must be straightened before augmentation so the nose does not tilt again
  • noses that have had many previous revisions, as each operation adds more scar tissue
  • a nose injured in an accident, a misshapen nose, or cleft lip and palate
  • uneven nostrils caused by an uneven nasal structure
Revision rhinoplasty with structural correction using rib cartilage

“Some cases do not match the textbook, so experience matters when caring for and assessing each case. Planning a revision is challenging for the surgeon, and choosing carefully can lower the chance of needing another revision.”

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Common Problems Among People Who Come for Revision Rhinoplasty

  • a crooked or tilted nose after previous rhinoplasty
  • a silicone implant that shows under the skin or pushes through it (implant extrusion)
  • thin, red skin at the nasal tip
  • a nose shape that does not suit the face
  • tight scar tissue that makes the nose stiff
  • wanting a softer shape

At S45 Clinic, we assess the problem and its causes in detail and reshape the nose to suit your facial structure

Revision Rhinoplasty Cases at S45 Clinic

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Why Choose Us for Revision Rhinoplasty

Why choose S45 Clinic for revision rhinoplasty
  • care from surgeons experienced in revision rhinoplasty, who assess the nasal structure and design a shape that suits each person’s nose
  • a detailed assessment and a surgical plan for each person (personalised)
  • reviews from real patients
  • may reduce discomfort in some cases, and recovery time depends on each person
  • close follow-up care for 1 year after surgery
Experienced doctors
Careful assessment and consultation
Nose shape designed to suit you
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Revision rhinoplasty at S45 Clinic

“My nose had been tilted for years after a previous rhinoplasty. After the revision with the surgeon at S45 Clinic, I am much happier with the shape, and the wound healed well.”

A patient aged 34

Revision rhinoplasty at S45 Clinic

“I had revision rhinoplasty 4 times before, and this 5th revision used the rib cartilage technique at S45 Clinic.”

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Our Process

  • an assessment by your surgeon and a plan for reshaping your nose to suit your face and the problem
  • revision rhinoplasty using a technique chosen for your case
  • aftercare with advice and close follow-up

Questions About Revision Rhinoplasty

Revision rhinoplasty with rib cartilage is another rhinoplasty technique that aims to give a well-shaped nose. It suits reshaping the nasal structure and people with nasal limitations, a silicone implant allergy or a swollen nose. Rib cartilage can meet the needs of people who have limitations for rhinoplasty, which makes it another option. Results depend on each person.

After revision rhinoplasty, you may get a headache, pain around the nose and facial swelling, usually for about 1 to 2 days. To reduce inflammation and swelling, take the medicine your surgeon prescribes and follow this advice:

  1. Do not squeeze, touch, twist, pick or scratch your nose, as this may make it crooked or tilted.
  2. Drink enough water and get enough rest to help your body recover.
  3. You can have drinks traditionally believed in Thailand to help reduce swelling and inflammation, such as pumpkin soup, gotu kola juice and coconut water.
  4. Avoid strongly flavoured, very spicy, very salty and high-sodium foods.
  5. Keep the wound dry, as water can slow healing and may lead to infection.
  6. To clean near the wound, use cotton wool soaked in saline, or a cleansing product.

Choose a surgeon with experience in revision rhinoplasty. Revision surgery is delicate, and many cases do not match the textbook, so an experienced surgeon can assess you, choose a surgical approach that suits you and design a nose shape that suits your face and style.

Avoid alcohol for at least 7 to 14 days after revision rhinoplasty to help the wound heal.

After at least 14 days, or as advised by your surgeon.

Keep the wound dry until it has healed well. You can clean it gently with a cotton bud, and follow your surgeon’s advice.

Rhinoplasty or revision rhinoplasty is usually intended to last a long time without further revision, unless you want to change the shape again. How long results last depends on each person.

Revision rhinoplasty usually costs more than a first rhinoplasty because it is more complex and the surgery needs more detailed work. The price depends on each person’s problem, and you can ask for an initial price after your surgeon’s assessment.

  • people with a crooked or tilted nose or uneven nostrils
  • problems at the tip of a silicone implant (extrusion)
  • difficulty breathing
  • problems such as infection, bleeding or pus, pain or swelling
  • wanting to change the nose shape

Our Rhinoplasty Surgeons

  • Dr ty final
  • dr che 1
  • dr rose


Note: Repeat nose surgery, often known as “revision rhinoplasty”, is surgery for people who have had nose surgery before and want a further assessment by a surgeon. The approach to care depends on the original problem, the nasal structure and the surgeon’s judgement in each case.

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  • About Us
  • Services
    • Revision Rhinoplasty
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    • Rhinoplasty
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    • Endotine Facelift
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  • Skin and Aesthetics
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