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revision rhinoplasty san francisco

San Francisco Revision Rhinoplasty

Since rhinoplasty is a complicated and difficult surgery, even the most gifted plastic surgeons don’t always get it right the first time. Revision rhinoplasty is commonly performed on those patients who are unhappy with their prior results or whose nose has changed over time resulting in a loss of tip projection or rotation, visible deformities, or a collapse of the nasal bridge. Revision rhinoplasty surgery is a more technically demanding surgery than primary rhinoplasty so it’s paramount that you see a surgeon with extensive expertise in this procedure. Dr. David Sieber has completed advanced training in revision rhinoplasty under some of the most renown rhinoplasty surgeons in the world. It’s also one of his passions as it requires both technical skill and experience as well as an artistic eye.

Revision rhinoplasty can help improve:*

  • Nasal symmetry
  • Straightening of the nasal dorsum
  • Collapse of the dorsum
  • Proper nasal tip projection and rotation
  • Smooth aesthetic nasal contours
  • Narrowing of nostril width

Quick Facts

  • Length: 3-4 hours
  • Anesthesia: General
  • Inpt/Outpt: Outpatient
  • Side effects: swelling, bruising, stuffy nose
  • Recovery: 1-2 weeks

To find out more about a revision rhinoplasty with San Francisco Plastic Surgeon Dr. David Sieber, call us today at: 415-915-9000 or schedule a consultation here.

Revision Rhinoplasty Technique

Since revision rhinoplasty is a much more technically demanding surgery than your primary rhinoplasty, Dr. Sieber will need to assess how much cartilage remains in your septum from your prior surgeries. If sufficient septal cartilage is no longer available, then he may need to use cartilage from behind your ear or from a portion of your rib to properly rebuild your nose. This will all be discussed with you in detail during your initial consultation.

Surgery is performed as an outpatient procedure. A small incision is made at the base of your nose and inside of your nostrils through which Dr. Sieber is able to modify and support your nasal bridge and tip, restoring your natural anatomy.

Preparing for Revision Rhinoplasty Surgery

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Revision Rhinoplasty Surgery

After surgery, you will have a cast as well as some pieces of tape on your nose. These will be removed along with the plastic splints inside your nose at your first follow-up appointment after surgery. If your nasal bones needed to be moved during the surgery, you may have black eyes afterwards, but these will gradually resolve during the next 1-2 weeks. Although you will be able to breathe through your nose right after surgery, your nasal passage will become blocked due to swelling so don’t be alarmed.* This will resolve gradually within the next 1-2 weeks.*

Nasal swelling is very normal following a revision rhinoplasty, and lasts for a long time so be patient. The swelling is the most prominent for the first 3 months after surgery, but it can continue for up to a year. The nasal tip typically has the most noticeable swelling, and is the last area to heal. As the swelling goes down, it does not always do so symmetrically. You may notice the sides of your nose swelling at different rates and to different degrees. This is a normal part of the healing process and should not be a cause for concern.


Q: I can’t breathe since after my first rhinoplasty surgery. Will that improve with revision rhinoplasty surgery?

A: During your consultation, Dr. Sieber will assess your breathing. During your revision rhinoplasty surgery, he will then address those factors which contribute to nasal airway obstruction, helping you to breathe easier after surgery.

Q: How do I know that the issues I’m having now won’t happen again?

A: Dr. Sieber believes in restoring your normal anatomy. Some patients aren’t born with normal anatomy while others lose this anatomy through prior surgery. Using your own cartilage, Dr. Sieber can reconstruct your nasal framework during your revision rhinoplasty to help ensure that you have a lasting result.*

Q: Will the recovery be like my first surgery?

A: Revision rhinoplasty tends to be more involved and more complicated than primary surgery. However, most patients find that their recovery after revision rhinoplasty surgery is very like their first operation. Some patients will experience prolonged swelling, but this will improve with time.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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