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Secondary rhinoplasty is a repeated correction of the external shape of the nose, which is performed by a plastic surgeon. The patient is also examined by an ENT surgeon before the operation to determine whether the internal structures of the nose are damaged and what condition the cartilage is in. This is mandatory for all patients, not just those who have had a broken nose after primary rhinoplasty. If the ENT surgeon sees a need to re-align the nasal septum and reduce the turbinates, this may be a secondary rhinoseptoplasty (or, as patients themselves say, septorhinoplasty)
Sometimes it happens that the result of the dream rhinoplasty does not meet the patient’s expectations. Or over time, breathing problems begin that cannot be solved with medication. Is it possible to get the nose you want to see on the second attempt and still breathe without complications? Let’s figure it out.
Indications for secondary rhinoplasty are medical and aesthetic. Medical indications include the following:
Aesthetic indications include noticeable cosmetic defects and the patient’s dissatisfaction with the result of primary rhinoplasty. But in this case, it is important for the plastic surgeon to understand whether the operation is, in principle, able to meet the person’s expectations.
Primary and secondary rhinoplasty can be both complex operations aimed at correcting several nasal defects, and direct work on a specific problem (for example, correction of the bridge of the nose). Depending on the volume of rhinoplasty, its price is formed.
The result after secondary rhinoplasty is the elimination of a previously existing nasal defect or the acquisition of a more desirable nasal shape in the case of aesthetic indicators. The patient may see changes gradually, as the compression bandage (strap) is removed, swelling subsides, and tissue repair occurs.
After the operation, swelling and bruising remain, but if you follow the doctor’s recommendations, healing usually goes without complications. The most unpleasant possible complication of secondary rhinoplasty is skin ischemia. Due to the aggressive conduct of the previous rhinoplasty and fibrous processes, the number of vessels decreases, which leads to a deterioration in the blood supply to the skin. The surgeon pays attention to the risks of ischemia first of all and takes all measures to avoid this complication.
The result of rhinoplasty remains for life – provided that the patient does not accidentally injure the nose. Unfortunately, similar cases have also occurred in the practice of the VIRTUS clinic.
Secondary rhinoplasty requires the plastic surgeon to be meticulous, able to work in conditions of lack of cartilage material and in-depth knowledge of the anatomy of the bones of the skull. Therefore, when choosing a surgeon, special attention should be paid to his experience and portfolio, in particular the skills of performing repeated rhinoplasty.
Secondary rhinoplasty cannot be done immediately after the primary one, since time is needed for postoperative recovery. Tissue formation lasts from six to twelve months, and there is no point in contacting a repeat operation before then.
Results of our operations and procedures convince better than any words. Judge for yourself!
I would like to express my gratitude to plastic surgeon Arman Sarkisyan for his professionalism and jewelry work.
The breast augmentation operation went as smoothly as possible. Arman is extremely attentive, meticulous and brings the result to perfection – he works until everything looks perfect. Rehabilitation is also comfortable, without complications.
My request was for a natural, as natural as possible result – and I got exactly what I wanted.
I trusted Arman from the first consultation, did not look for other doctors and now I am absolutely satisfied with my choice and the result.
I visited S.V. Kadochnikov and A.V. Simonenko for the first time. I really liked them as specialists. They listened to me and performed a top-notch examination. I highly recommend them.
I am very grateful to your clinic for its professional approach to patients. I’ve been your patient for many years. I’m especially grateful for the “golden hands” of Sergey Valerievich Kadochnikov. He’s a truly brilliant specialist. His integrity and expertise won me over. I’m very grateful to him for making me feel “young again.” I look very natural, and there are no traces of the surgery left. He’s such a magician. And if anything needs to be touched up later, I know my wonderful doctor’s phone number.
Preparation for secondary rhinoplasty is almost the same as preparation for the primary operation. The patient also passes a standard package of tests (clinical blood, HIV and hepatitis tests, ECG, FG, etc.) and visits an anesthesiologist and therapist. Additional examinations may include rhinomanometry and examination of facial bones. The ENT surgeon examines the nose from the inside to detect the presence of defects, adhesions, synechiae after previous plastic surgery on the nose.
Secondary rhinoplasty is performed in the same volumes as the primary one. The plastic surgeon carefully assesses the possibilities he has and the remaining structures. Secondary rhinoplasty consists of the following stages:
Most likely, the cartilage from the nasal septum has already been used in a previous operation, so the doctor takes cartilage from a rib or from the ear. Secondary rhinoplasty, depending on the complexity, lasts from one to six hours.
Recommendations for recovery are the same as for primary rhinoplasty. It is necessary to avoid active physical activity, exposure to the sun and visiting baths and saunas. If necessary, the doctor may refer you to physiotherapy, which improves lymphatic drainage and helps swelling to “go away” faster.
*The price is as of November 24, 2025 and is subject to change over time.
| Service or type of diagnostics | Odessa Sudnobudivna, 1B |
Kyiv Kostiantynivska, 57 |
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|---|---|---|---|
| Service or type of diagnostics | |||
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| Plastic surgery | ||
| Консультация хирурга высшей категории | 1000 | |
| Консультация хирурга | 700 | |
| Повторная консультация хирурга высшей категории | 800 |
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