Revision Rhinoplasty Beverly Hills
Advanced Corrective Nasal Surgery by Dr. Elie Ramly
Revision rhinoplasty is one of the most technically demanding procedures in aesthetic surgery. When a previous rhinoplasty leaves you with asymmetry, breathing issues, collapse, distortion, or dissatisfaction, achieving a natural, balanced, and functional result requires deep structural understanding, precision, and artistry.
At Ramly Plastic Surgery in Beverly Hills, Dr. Elie Ramly specializes in revision rhinoplasty — rebuilding nasal support, restoring natural shape, correcting prior work, and achieving a nose that finally feels like you.
The goal: a refined, stable, elegant nose that restores confidence and identity.
Why Patients Seek Revision Rhinoplasty
Common concerns after a previous rhinoplasty include:
Persistent or worsened asymmetry
Tip collapse, pinching, or distortion
Over-resection of cartilage (“overdone” look)
Pollybeak deformity
Scooped or inverted-V deformity
Bridge irregularities or collapse
Difficulty breathing
Irregular or unnatural tip shape
Residual hump or dorsal inconsistency
Deviated or twisted appearance
Nasal valve collapse
Lack of refinement or short-lived improvement
A nose that looks “operated” or mismatched to the face
Revision rhinoplasty requires not just correction — but a complete understanding of what went wrong and how to rebuild properly.
Why Revision Rhinoplasty Is More Complex
Secondary nasal surgery involves:
Scar tissue and altered anatomy
Over-resected, weakened, or missing structures
Loss of natural support
Thinned skin envelope
Asymmetries created or unmasked by prior surgery
Unpredictable tissue response
Need for cartilage grafting (septal, ear, or rib)
Risk of airway compromise
Distortion patterns that must be reversed
Correcting previous tension vectors or collapse
It demands a surgeon with advanced structural knowledge, meticulous precision, artistic restraint, and the ability to rebuild a stable, functional framework.
Dr. Ramly’s Approach to Revision Rhinoplasty
Structural Restoration. Anatomical Precision. Identity Preservation.
Revision rhinoplasty requires much more than reshaping the nose — it requires re-engineering the foundation.
Dr. Ramly’s approach includes:
Detailed analysis of previous surgical changes
Comprehensive photographic + structural assessment
Correction of asymmetries and collapsed areas
Rebuilding support using cartilage grafts when needed
Restoring natural dorsal and tip contours
Re-expansion of narrowed or pinched areas
Preservation of your identity while improving form
Seamless integration of aesthetic and functional correction
Refinement with subtlety, balance, and restraint
The goal is a nose that looks like your natural anatomy — restored, refined, and supported for life.
Structural + Preservation Hybrid Approach (When Appropriate)
While revision rhinoplasty relies heavily on structural rebuilding, there are moments when preservation principles help soften transitions or restore natural shape.
Dr. Ramly integrates both philosophies thoughtfully — choosing whichever method best recreates:
Smooth, natural lines
Soft dorsal contour
Elegant tip definition
Balanced projection
Stability and long-term support
This hybrid approach maximizes refinement while protecting the integrity of your tissues.
What Revision Rhinoplasty Can Improve
A revision rhinoplasty by Dr. Ramly can successfully correct:
Tip asymmetry, collapse, or bossae
Dorsal irregularities or pollybeak
Inverted-V deformity
Residual hump or open roof deformity
Deviated or twisted nasal axis
Valve collapse or breathing issues
Over-resected or pinched tips
Hanging or retracted columella
Overly rotated or under-rotated tip
Saddle nose deformity
Lack of long-term stability from prior surgery
Unnatural, “operated,” or overdone appearance
The result is a nose that finally looks natural, balanced, and cohesive with your face.
Cartilage Grafting in Revision Rhinoplasty
Because previous surgery often weakens nasal support, grafting is frequently needed. Sources include:
Septal cartilage (if available)
Auricular cartilage (ear)
Costal cartilage (rib) — often required in complex or severely over-resected cases
Grafting may be used to:
Restore tip support
Correct collapse
Rebuild bridge height
Support the nasal valves
Improve projection and rotation
Smooth irregularities
Reconstruct the structural framework
These grafts are shaped with precision to ensure natural contour and movement.
Breathing & Functional Correction
Many revision patients have breathing complaints after prior surgery.
Common issues include:
Septal deviation
Internal/external valve collapse
Narrowing from over-resection
Turbinate problems
Structural collapse from scar tissue
Functional repair is fully integrated with aesthetic refinement — ensuring your nose looks and functions better than before.
Ideal Candidates for Revision Rhinoplasty
You may be a candidate if you:
Are unhappy with the outcome of your previous rhinoplasty
Feel your nose looks unnatural or overdone
Have breathing issues after prior surgery
Notice asymmetry, collapse, or distortion
Have irregularities or bumps after surgery
Feel your nose does not match your face
Want a second or third opinion from a revision specialist
Your treatment plan is deeply individualized.
Expected Results
A revision rhinoplasty by Dr. Ramly aims to deliver:
A refined, natural, balanced nasal shape
Restored structural support
Improved symmetry
Elegant tip definition
Smooth contours and natural shadows
Better breathing
A result that blends seamlessly with your features
A nose that finally feels correct for your face
Patients describe the outcome as:
“I finally look like myself again — but better.”
Before & After Philosophy
Revision results should look:
Natural and identity-preserving
Balanced and proportional
Free of tension or distortion
Harmonious with your entire facial structure
Stable and long-lasting
Non-obvious, even in motion
Patients consistently report that friends and colleagues cannot tell they had revision surgery — only that they look more balanced, confident, and refreshed.
Your Beverly Hills Revision Rhinoplasty Experience
Detailed consultation and analysis of prior surgery
Review of operative history (when available)
High-definition photography + structural mapping
Customized surgical plan
Execution in an accredited Beverly Hills surgery center
Quiet-luxury patient experience
Results that refine naturally over weeks and months
This process is private, meticulous, and tailored to you.
Recovery Timeline
Week 1: splint removal; swelling begins improving
Week 2: more definition, socially presentable
Weeks 3–6: contour and symmetry continue refining
Months 3–12: final result develops gradually
Recovery may be slightly longer than primary rhinoplasty due to scar tissue, but comfort levels are similar.
Frequently Asked Questions (FAQ)
How long should I wait before revision rhinoplasty?
At least 9–12 months after your prior surgery is ideal.
Do I need rib cartilage?
Only if septal and ear cartilage are insufficient or if major reconstruction is needed.
Will my revision look natural?
Yes — the focus is identity preservation, balance, and subtlety.
Can revision fix breathing problems?
Yes. Structural correction is often a key part of revision surgery.
Is revision more painful?
Not typically. Most discomfort relates to congestion, not pain.
How many revision rhinoplasties do you perform?
A significant portion of Dr. Ramly’s rhinoplasty practice consists of revision cases from across Southern California and beyond.
Why Choose Dr. Elie Ramly
Dr. Ramly is a Harvard-trained plastic and reconstructive surgeon specializing in:
Revision rhinoplasty
Complex structural reconstruction
Correction of prior surgical distortion
Cartilage grafting (septal, ear, rib)
Functional + aesthetic integration
Natural, identity-preserving refinement
Quiet-luxury, detail-focused care
Patients seek Dr. Ramly for his precision, restraint, anatomical mastery, and ability to restore natural form after even the most challenging prior surgeries.
What Patients Often Say
“My first rhinoplasty left me distorted — he fixed everything.”
“I can breathe again.”
“The tip looks natural for the first time.”
“Finally, my nose fits my face.”
“This is the result I should have had the first time.”
This is the impact of a carefully executed revision rhinoplasty.
If you are unhappy with a prior rhinoplasty or want a natural, balanced, refined correction, schedule a private consultation with Dr. Ramly in our Beverly Hills office.

