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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.

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