Revision Rhinoplasty in Seomyeon, Busan
Revision rhinoplasty (코 재수술) is a second or later nose surgery to correct problems from a previous rhinoplasty, such as a shifted implant, a pulled-up tip from contracture, asymmetry or breathing difficulty. In Seomyeon, Busan, it usually follows a detailed exam and CT; surgery often takes 2–4 hours under general anesthesia, and swelling lasts longer than after a first operation.
Independent patient guide · Medically informative, not a substitute for a doctor's advice · Last reviewed:
What is revision rhinoplasty?
Revision rhinoplasty corrects the shape or function of a nose that has already been operated on. Because previous surgery leaves scar tissue, altered blood supply and often depleted septal cartilage, it is more complex than a first rhinoplasty. Common reasons in Korea include:
- An implant that has shifted, become visible or feels mobile
- Capsular contracture: scar tissue around an implant shrinks, pulling the tip up and shortening the nose
- An overly high or artificial-looking bridge
- Tip asymmetry, pinching or a collapsed nostril
- New or worsened breathing problems
- Infection or implant extrusion, which may need removal first
Who is it for?
People with a functional or aesthetic problem that has stabilised. Surgeons usually wait 6–12 months after the last operation so swelling settles and scar tissue softens. The exception is infection, exposure of an implant or a clear early displacement, which may need prompt treatment.
What happens at the clinic
- Detailed history: bring records of previous operations, including implant type and grafts used, if you have them.
- Examination and imaging: a CT can show remaining cartilage, implant position and septal status.
- Graft planning: if septal cartilage is gone, ear or rib cartilage may be needed for structural support.
- Surgery: usually an open approach; the old implant and scar capsule may be removed, the tip rebuilt and the bridge reshaped.
- After surgery: splint, internal supports and close monitoring in the first days.
Recovery and aftercare
Expect more swelling than a first rhinoplasty, especially around the tip, and a longer settling period, often over a year. Taping, avoiding pressure on the nose, no smoking and careful wound hygiene are particularly important because revised tissue heals more slowly. Rib donor sites can cause chest discomfort for a few weeks.
Risks and side effects
Revision carries higher risk of infection, skin thinning, poor healing, further contracture, warping of rib grafts and the need for another operation. Expectations must be realistic; improvement is the goal rather than a perfect result.
Choosing a clinic for revision rhinoplasty in Seomyeon
- Choose a board-certified plastic surgeon who regularly performs secondary and contracture cases.
- Ask how they will source cartilage if your septum was already used.
- Ask whether they plan to remove, replace or avoid an implant, and why.
- Ask how infection risk is managed, including antibiotics and sterile protocols.
- Ensure a clear plan for long-term follow-up, since results mature slowly.
If you are travelling
Allow at least 10 days in Busan, and plan for remote follow-up afterward. Seomyeon's clinics are a short metro ride from the KTX station and the airport rail link.
Key facts
- Treats: implant deviation or visibility, capsular contracture, short or upturned tip, asymmetry, airway problems
- Common grafts: septal, ear or rib cartilage, dermis, fascia
- Procedure time: about 2–4 hours
- Anesthesia: usually general
- Timing: generally at least 6–12 months after the previous surgery unless urgent
- Splint removal: around 7 days
- Final result: often 12 months or more
Frequently asked questions
How soon can I have revision rhinoplasty?
Most surgeons recommend waiting 6–12 months after the previous surgery so tissues can soften and swelling resolves. Urgent problems such as infection or an exposed implant are exceptions and should be assessed immediately.
Why does my nose tip look pulled up after surgery?
This is often caused by capsular contracture, where scar tissue around a silicone implant tightens. Revision typically removes the capsule and implant and rebuilds the tip with cartilage to lengthen the nose.
Will I need rib cartilage for revision rhinoplasty?
Not always. If enough septal or ear cartilage remains, it may be sufficient. When strong structural support is needed, or previous surgeries used the septum, rib cartilage is often recommended.
Is recovery longer after revision rhinoplasty?
Yes, usually. Bruising fades in a few weeks, but tip swelling commonly lasts a year or more because scarred tissue drains more slowly. Patience and careful aftercare are important.
Can revision rhinoplasty fix breathing problems?
Often, yes. Revision can straighten the septum, support collapsed nostril walls and widen the internal valve. Tell the surgeon about breathing symptoms so function is assessed alongside appearance.
Medical disclaimer: Seomyeon.Clinic is an independent information directory. Content is for general education and does not replace a consultation with a licensed physician. Suitability, risks, results and costs vary by person and clinic. In an emergency in Korea, call 119.