There are many reasons why a rhinoplasty procedure may not produce ideal results. At FacesFirst, we want our patients to be completely confident in how they look, which is why we offer the revision rhinoplasty procedure, which corrects any undesired outcomes from previous nose surgery. Get the results you expected the first time. Feel confident when you look in the mirror with a revision rhinoplasty in Denver, CO.

What is Revision Rhinoplasty Surgery?

Revision rhinoplasty is a term to describe a facial plastic surgery procedure to correct problems or deformities of the nose from a previous rhinoplasty. It’s sometimes called a secondary rhinoplasty or rhinoplasty revision. Dr. Christopher Cote is a facial plastic surgeon and specialist in revision rhinoplasty procedures. He has the experience and expertise needed to correct problems, and he takes pride in giving rhinoplasty patients results they can be confident in. Regardless of who performed your primary rhinoplasty, Dr. Cote can offer a successful revision surgery.


from our patients

Dr. Cote and all staff genuinely care about their patients and the experience they have. Their priority is to make sure everyone is happy with their procedure and understands the whole process.

-Jodee DeRose

Dr Picerno (& Kerry) have been helping me look younger for a long time. They are excellent at keeping the years at bay and they care about their patients. I highly recommend using them if you want to turn back the clock.

-Linda Jacobsen

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What is the Difference Between Initial Rhinoplasty and Revision Rhinoplasty?

Revision rhinoplasty procedures are generally considered one of the more difficult facial plastic surgery procedures. This is due to the complicated anatomy of the nasal bones and the fact that damaged cartilage and scar tissue will need to be virtually rebuilt to create the new nasal skeleton. To build a new nasal skeleton, a cartilage graft may be harvested from one of three areas of the body: the nasal septum (septal) cartilage, ear (conchal) cartilage, or the rib (costal) cartilage. In some cases, the damage may be too severe to safely be taken from these areas, and synthetic tissue may be used instead. Another possibility is that all of the above may be used; both natural and synthetic cartilage.

Because a secondary rhinoplasty is a more complicated procedure, it is crucial that you choose an experienced and trustworthy plastic surgeon. Dr. Cote is a double-board certified, experienced rhinoplasty surgeon and has been performing successful facial plastic surgery and nose surgery procedures for more than 20 years.



Before and After

Revision Rhinoplasty addresses a variety of cosmetic concerns on the nose, including an overly large nose, bulbous tip, dorsal hump, and a hooked appearance. Natural-looking results that fit each patient’s face are always the goal.

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*actual patient by FacesFirst Dr. Cote

Who is a Good Candidate for Revision Rhinoplasty?

Good candidates for revision rhinoplasty are patients who underwent a previous rhinoplasty procedure and did not achieve the nose and facial aesthetics they were hoping for. In some cases, this may be a “botched” nose job that resulted in a pinched tip or crooked nose. Revision rhinoplasty is also beneficial for patients who experienced complications after their previous rhinoplasty like breathing difficulties or a deviated septum.

Some rhinoplasty patients also experience injuries or trauma to the nasal tissues after their original surgery and experience breathing difficulties. Or perhaps they developed breathing issues (where they previously had none) because of a new nasal obstruction. In some cases, a primary procedure did not heal as intended.

To be considered a good candidate for revision rhinoplasty, you should be in overall good health and able to undergo revision rhinoplasty; you should also have realistic expectations about what this surgical procedure can achieve.

How Soon Can I Get a Revision Rhinoplasty?

Recovery from your initial surgery can take upwards of one year. Before you opt for a revision rhinoplasty procedure, you should be fully recovered from your initial surgery. If you undergo revision rhinoplasty before this time, it can negatively impact your results, so your facial plastic surgeon can help you determine if it’s the right time and what sort of final outcome you can expect.

Should I Go to the Same Surgeon for a Revision Rhinoplasty Procedure?

It’s not necessary to go to your original surgeon for revision rhinoplasty. In fact, it can be more beneficial to select a facial plastic surgeon who specializes in revision rhinoplasties. Your original surgeon may have a better idea of your previous rhinoplasty, but a revision rhinoplasty specialist will better understand the complexities of revision surgery and may be able to better achieve the results you want. Dr. Cote is a highly sought-after plastic surgeon for his skill and experience in revision rhinoplasty in the greater Denver area.

Read Our Blog

for more information

How a Revision Rhinoplasty can Improve Poor Results


When Do You Need a Revision Rhinoplasty?


What to Expect During Revision Rhinoplasty Surgery

Due to the complexities of this challenging cosmetic and reconstructive surgery, revision rhinoplasty procedures are one of the more time-consuming plastic surgery procedures in the operating room. It’s performed under general anesthesia, just like your initial procedure.

Revision rhinoplasty is very similar to primary rhinoplasty surgery except that it may require cartilage grafts or synthetic tissue based on your needs. During your revision rhinoplasty consultation, your facial plastic surgeon will help you understand what to expect during surgery, including your incision pattern, the advanced techniques used to correct breathing difficulty, and the choice between open rhinoplasty and closed rhinoplasty surgery.

Revision Rhinoplasty Results

Revision rhinoplasty has a longer recovery time which might be anywhere from six months to two years depending on the severity of the necessary repairs and the health of the skin. However, once fully healed, the secondary or revision rhinoplasty can improve breathing function and external deformities, and improve the structure of the bridge of the nose.

Most patients return to work within 7-10 days after surgery. You can expect swelling to last for 1-2 months and should avoid exercise during this time. Your post-op aftercare steps and recovery will be very similar to your initial procedure but our team is available to answer your questions.

Schedule a Consultation

Revision rhinoplasty can help you achieve your intended results after your first rhinoplasty. Your first step is meeting with our Denver, CO rhinoplasty specialist, Dr. Christopher Cote or Dr. Nicolette Picerno. For more information on revision rhinoplasty in Denver and how we can enhance your appearance, please contact us at 303-744-2300.


Christopher Cote, M.D.
Dr. Christopher Cote is a double-board-certified facial and reconstructive plastic surgeon and head and neck surgeon by the American Board of Otolaryngology and the American Board of Facial and Reconstructive Surgery. He received his medical degree from Tufts University and performed his residency at Walter Reed Army Medical Center and National Naval Medical Center, fellowship training at Johns Hopkins university. His specialties include aesthetic and functional rhinoplasty, facelifts and brow lifts, and others minimal invasive procedures.  He is also a clinical instructor to Plastic Surgery residents at University of Colorado, and recently received recognition on Newsweek’s Americas best rhinoplasty surgeons. When not assisting patients, Dr. Cote enjoys spending time hiking, skiing, and traveling with his wife and kids.

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