Top UK Rhinoplasty Surgeon, Julian Rowe-Jones on: How many times can rhinoplasty be performed?

Getting the best results

My goal, with any rhinoplasty, is to get the best result I can the first time round that I see that patient. Despite the fact that I’ve got considerable experience in rhinoplasty, primary and secondary, I can’t guarantee that I’m going to get the result first time out. I don’t have complete control over your healing; I don’t have complete control over how your tissues are going to behave during surgery, so therefore there is always a chance of you needing more surgery.

Patients’ expectations

How many times this can be performed depends on what the problem is. I think it’s important to take note of the fact one patient, for example, said to me, “I don’t care how many times you do my surgery I just want a perfect result”. So you have to bear in mind that perfection is never possible and there are times when the surgeon has to say no, this is the best we can do. But if we do think revision is appropriate, certainly small change can be done several times to different parts of the nose but that really shouldn’t ever be the case.  The things that I take into account as with any rhinoplasty, are patients expectations; can they be met and the quality of the issues I’m dealing with?

The Risks

Certainly one of the problems in revision rhinoplasty is poor skin quality and blood supply to the skin, so there are times when the safest answer is not to have more surgery because the risks are greater than the rewards.

Presented by Julian Rowe-Jones, Top UK Rhinoplasty Surgeon

More about Julian Rowe-Jones

Julian Rowe-Jones founded The Nose Clinic in 1998 with a clear mission to deliver world leading standards of cosmetic nose surgery (Rhinoplasty) in Guildford, and now in Harley Street, London. His aim is to provide a level of friendly and professional consultancy, advice, support and patient care that complements and enhances these standards. His expertise as a rhinoplasty surgeon is central to the success of his patients; and you can read more about his background and experience in specialising.