Revision Rhinoplasty in Iran with Dr. Boromand
Expert Nose Surgeon in Tehran with Over 5,000 Successful Procedures
Revision Rhinoplasty in Iran with Dr. Boromand
Expert Nose Surgeon in Tehran with Over 5,000 Successful Procedures
Table of Contents
Secondary Nose Surgery with Dr. Boromand
Before & After Rhinoplasty Results by Dr. Boromand
Revision Rhinoplasty Cost with Dr. Boromand
Post-Op Nose job Results by Dr. Boromand
What Issues Can a Revision Rhinoplasty Fix?
When Is the Best Time for Revision Rhinoplasty?
How Is Revision Rhinoplasty Different from Primary Rhinoplasty?
How Long Does It Take to Recover from Revision Rhinoplasty?
Risks and Potential Complications of Revision Rhinoplasty
Use of Implants in Revision Rhinoplasty
Secondary Nose Surgery with Dr. Boromand
Had a previous rhinoplasty that didn’t meet your expectations? Dr. Boromand is a board-certified ENT and nose surgeon in Tehran with over 20 years of experience and a strong track record in complex revision rhinoplasty cases.
He approaches each revision surgery with extra care, aiming to correct structural or aesthetic issues from previous operations while preserving nasal function. Whether you’re dealing with breathing problems, asymmetry, or dissatisfaction with the shape, Dr. Boromand offers personalized solutions to restore both form and function.
Consultation and Surgery Process
- Free Online Consultation via WhatsApp: Send photos (front, profile, underside) along with a short description of your concerns. Dr. Boromand will provide a detailed evaluation of your case.
- In-Person Consultation: Visit his clinic in Tehran for a thorough examination and to discuss your goals and surgical options in person.
- Travel to Iran for Surgery: Once you’re confident and ready, you can plan your trip to Iran for the operation.
- Post-Surgery Follow-Ups: Regular check-ins ensure your healing process goes smoothly and that the results meet your expectations.
Post-Op Nose job Results by Dr. Boromand
Revision Rhinoplasty Cost with Dr. Boromand
All-Inclusive Price: €1850
Includes the Full Surgical Process:
- Consultation with Dr. Boromand before surgery
- Pre-surgery medical tests
- Professional medical photography
- Hospital and operation
- Medication after surgery
- Post-surgery check-up
- Follow-up after returning home
Expert care from start to finish — even after you leave.
Dr. Boromand’s Post-operative Videos
Before & After Rhinoplasty Results by Dr. Boromand
What Issues Can a Revision Rhinoplasty Fix?
Revision rhinoplasty is typically performed when a patient is dissatisfied with the appearance or function of their nose following a previous surgery. This type of procedure aims to correct problems caused by the initial surgery or issues that developed during the healing process.
Some of the most common concerns that can be addressed through revision rhinoplasty include:
- Asymmetry in the nostrils or overall nasal shape
- Unwanted depressions or bumps on the bridge or tip of the nose
- Drooping or over-rotated nasal tip
- Breathing difficulties due to airway obstruction or narrowed nasal valves
- Visible scarring or poorly healed incisions
- General dissatisfaction with the final result of the primary surgery
A thorough evaluation by an experienced surgeon is essential to determine whether these concerns can be successfully corrected with revision surgery. An in-person consultation is highly recommended before making any final decisions.
When Is the Best Time for Revision Rhinoplasty?
The ideal time to undergo revision rhinoplasty is typically 12 months after the initial surgery. This waiting period allows the nasal tissues to fully heal and all swelling to subside, ensuring that the surgeon can accurately assess the final result and identify any issues that truly require correction.
Scheduling revision surgery too early may interfere with the natural healing process, lead to misdiagnosis of the actual concerns, or increase the risk of complications.
However, in certain cases — such as severe breathing difficulties or clearly visible deformities — an experienced surgeon may determine that earlier revision (around 6 months post-op) is safe and appropriate. Such decisions should always be made based on a thorough clinical evaluation.
If you believe your nose may need revision after a previous procedure, feel free to send a message via WhatsApp for a consultation. Dr. Boroumand and his team will assess your individual situation and guide you on the best timing for revision surgery.
How Is Revision Rhinoplasty Different from Primary Rhinoplasty?
Secondary rhinoplasty differs from primary rhinoplasty in several important ways, both technically and in terms of the healing process.
In a primary rhinoplasty, the nasal structures are being altered for the first time. The cartilage, bone, and soft tissues are typically untouched and more flexible, which often makes the procedure more straightforward. In contrast, revision surgery involves operating on a nose that has already undergone surgery. Scar tissue, adhesions, loss of cartilage, or altered anatomy can make the procedure significantly more complex.
Key differences between the two procedures include:
- Higher complexity: Revision rhinoplasty is generally more technically demanding and requires greater surgical expertise.
- Longer surgery time: These procedures often take more time than a primary rhinoplasty.
- Tissue or cartilage grafting: Additional cartilage may be needed and may have to be taken from other parts of the body, such as the ear or rib.
- Different goals: While primary rhinoplasty focuses on reshaping the nose, revision rhinoplasty aims to correct unsatisfactory results or functional issues from a previous surgery.
- Success rate and limitations: Revision cases may come with certain limitations and the outcome might be influenced by the condition of the existing nasal tissues.
For these reasons, choosing a highly experienced and specialized surgeon in revision rhinoplasty is essential to achieving a safe and satisfying result.
The Role of Nasal Skin in Revision Rhinoplasty
The condition of the nasal skin plays a crucial role in the final outcome of revision rhinoplasty. While most people focus on bone and cartilage, it’s actually the skin that must drape smoothly over the reshaped internal structures to deliver a natural and balanced result. In revision cases, the condition of the skin is even more important than in primary surgeries.
During revision surgery, the surgeon must work with tissues that have already been altered. Previous operations can significantly affect the skin in ways such as:
- Reduced skin flexibility due to internal scarring and adhesions
- Changes in skin thickness, often thinning due to prior stretching or trauma
- Formation of scar tissue that restricts natural skin movement over the nasal framework
- Decreased blood supply, which can slow healing and increase the risk of complications
Skin type also plays an important role:
- Thick skin may mask fine details and hold swelling longer, which can delay visible results
- Thin skin can expose even the slightest irregularities, requiring a high level of surgical precision
That’s why, in revision rhinoplasty, the surgeon must adapt specific techniques based on skin quality. These may include cartilage grafting for a more stable framework, reinforcing soft tissue support, and meticulous suturing to optimize skin redraping.
Ultimately, the skin is not just a surface covering, it’s a key element in the success of revision surgery. Careful assessment of the skin before surgery helps guide the treatment plan and contributes to a natural, long-lasting result.
How Long Does It Take to Recover from Revision Rhinoplasty?
Recovery after revision rhinoplasty depends on several factors, including the extent of corrections made, the condition of the nasal tissues, and the patient’s individual healing response. While the general healing timeline is similar to primary rhinoplasty, it often takes a bit longer.
In most cases:
- Initial swelling is noticeable in the first few weeks and begins to subside within 2–3 weeks
- General nasal shape starts to stabilize around the 3-month mark
- Deep swelling and final results may take 6 to 12 months to fully reveal
- If cartilage is taken from the ear or rib, the donor site will also require time to heal
Being patient and following post-op care instructions carefully is key to achieving optimal results.
Risks and Potential Complications of Revision Rhinoplasty
While revision rhinoplasty can successfully address many aesthetic and functional concerns, like any surgery, it comes with potential risks. Being informed about these helps patients set realistic expectations and prepare for recovery.
Some common risks include:
- Prolonged swelling: Swelling may last longer than in primary surgeries, especially in patients with thick skin or multiple prior procedures
- Asymmetry or irregular shape: Complete correction of previous issues may not always be possible, and some asymmetry may persist
- Scar tissue buildup: Existing scar tissue can lead to stiffness, adhesions, and reduced nasal function
- Breathing issues: If the internal structure isn’t properly rebuilt, nasal blockage or difficulty breathing may occur
- Need for further surgery: In some cases, a third surgery may be needed to achieve the desired result
- Infection, bleeding, or delayed wound healing: While rare, these are general risks associated with any surgical procedure
- Changes in sensation: Temporary or permanent numbness at the nasal tip can happen
Choosing a highly skilled and experienced revision rhinoplasty specialist is the most important factor in minimizing risks and maximizing the chance of a successful outcome.
Use of Implants in Revision Rhinoplasty
In some revision rhinoplasty cases, where natural tissues such as nasal cartilage or the septum have been damaged or depleted in previous surgeries, the surgeon may use synthetic implants to help reconstruct the nose. These implants are typically made from biocompatible materials that are well-tolerated by the body, with a very low risk of allergic reactions or rejection.
Implants are generally considered when the patient does not have enough usable cartilage from their own body — for example, when the nasal bridge is overly collapsed or the internal support structure is severely weakened. In such cases, implants can restore both the shape and function of the nose. In patients who have undergone multiple surgeries, where tissue loss is extensive, implants may be the only viable option.
While implants offer clear advantages, their use must be carefully evaluated. Despite their compatibility, there are still potential risks such as infection, shifting of the implant, or — in rare cases — extrusion through the skin, especially in patients with thin skin or poor post-op care.
The decision to use an implant must be personalized, based on the patient’s nasal anatomy, skin quality, surgical history, and the expert judgment of the surgeon. Whenever possible, a skilled surgeon will prefer using the patient’s own tissue, but in selected cases, implants can offer a safe and effective solution for achieving a desirable outcome.
Pre-Operative Instructions for Revision Rhinoplasty
Proper preparation before revision rhinoplasty plays a vital role in improving the success of the surgery, minimizing complications, and speeding up recovery. Unlike primary rhinoplasty, revision procedures are typically more complex and require more thorough planning by both the surgeon and the patient.
Key steps before surgery include:
- Detailed consultation: A comprehensive review of your previous surgeries, current issues, skin type, and expectations
- Imaging if needed: CT scan or X-rays to evaluate internal nasal structures
- Blood tests and general health check-up: Especially for anesthesia clearance
- Review of medications: Particularly blood thinners like aspirin, warfarin, or herbal supplements
- Discontinue certain medications: Blood thinners are usually stopped 7–10 days prior, under medical supervision
- Quit smoking and vaping: At least 2 weeks before surgery to improve circulation and healing
- Avoid alcohol: Especially in the days leading up to surgery
- Light meal before fasting: Eat a light dinner the night before, and fast for 8–12 hours prior to surgery
- Arrange for a companion: You’ll need someone to accompany you on the day of surgery
- Mental readiness: Reduce anxiety and trust the process — a calm mindset helps improve the overall experience
Post-Operative Care After Revision Rhinoplasty
Post-operative care is critical in determining the success of revision rhinoplasty and in preventing complications. Because these procedures are more sensitive, closely following your surgeon’s instructions is essential.
In the first few days after surgery, get plenty of rest and avoid any strenuous activity. Swelling, bruising, and mild discomfort are expected and can be managed with prescribed medications.
Important post-op care tips include:
- Cold compress: Apply around the cheeks and eyes (not directly on the nose) for the first 48 hours to help reduce swelling
- Elevate your head while sleeping: This helps minimize facial swelling
- Keep the splint dry: Avoid getting the nasal cast or tape wet, and do not press or manipulate the nose
- Follow a light diet: Stay hydrated, avoid salty and spicy foods, and eat soft, easy-to-digest meals
- Avoid pressure or trauma: No wearing glasses, sleeping on your face, or engaging in contact activities for several weeks
- Avoid smoking and alcohol: For a few weeks post-surgery, as they can impair healing
It’s important to understand that swelling may last longer than with a primary rhinoplasty. The final shape of the nose will gradually become more refined over time, and it may take up to a year for all swelling to fully resolve. Patience and regular follow-up appointments with your surgeon are essential.
FAQ About Revision Rhinoplasty
Why should I consider Iran for revision rhinoplasty?
Iran is globally renowned for its advanced rhinoplasty procedures, with highly skilled surgeons, modern clinics, and significantly lower costs compared to Western countries, all without compromising on quality.
How experienced are Iranian surgeons with revision rhinoplasty?
Iranian surgeons perform thousands of rhinoplasty and revision rhinoplasty procedures each year. Many are internationally trained and specialize in complex secondary surgeries.
Is revision rhinoplasty in Iran safe?
Yes, when done in accredited clinics by certified surgeons, the procedure is very safe. Iran’s top hospitals and clinics follow international health and safety standards.
How much does revision rhinoplasty cost in Iran?
Above this post, you’ll find the specific price for revision rhinoplasty with Dr. Boromand, who is one of Iran’s trusted and experienced facial plastic surgeons. Usually it is depending on the complexity of the case and the surgeon’s expertise often much lower than in the US or Europe.
How long should I stay in Iran for the procedure?
Patients are usually advised to stay for 7 to 10 days: pre-op consultation, surgery, initial recovery, and follow-up checks.
Will there be language barriers?
Most top surgeons and medical staff speak English, and translation services (Arabic, English, etc) are readily available to ensure smooth communication.
What should I expect during the recovery process?
Initial swelling and bruising subside within 1–2 weeks, but final results may take several months to appear. You’ll get clear post-op instructions and virtual follow-up options.
How many international patients has Dr. Boromand performed surgery on?
Dr. Boromand has performed revision rhinoplasty on hundreds of international patients from countries such as the United States, France, the UK, Iraq, Australia, Norway, and many more. You can watch before-and-after videos of some of these patients here.
Free Consultation with the Doctor
For more information and to discuss your condition, contact Dr. Boromand on WhatsApp.
Free Revision Rhinoplasty Consultation
Ask your questions directly to the revision rhinoplasty surgeon and ENT specialist doctor peyman boromand. You can post your question at the bottom of this page and receive a response shortly.
You can also contact Dr. Boromand via WhatsApp.
Dr. Peyman Boromand
ENT Surgeon and Specialist | Fellowship in Rhinoplasty and Facial Plastic Surgery, with over 20 years of experience and more than 5,000 successful nose and facial surgeries.
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Hello, I am considering my second nose job. Can I have a consultation to see if it is doable and how much it will cost
Hi Anwaar, the cost depends on your previous surgery and the current shape and condition of your nose.
Could you please send three clear photos via Whatsapp: one from the front, one from the side (profile), and one from below showing the nostrils?
Also, please confirm whether you have had only one previous nose surgery, and let me know if you have any breathing problems.
Thank you for your response.
I don’t have breathing problem, and I had my forst nose job 19 years ago. I am 38 years old now.
I sent photos in whatsapp for you doc.
From what I see, you have a moderate hump, a slightly droopy and bulbous tip, and mild deviation.
A revision is possible and would involve smoothing the bridge and refining the tip. Since it’s your second surgery, we may need cartilage grafts for support.
The revision rhinoplasty cost is written above in this post with all details included clearly. I can confirm it after an in-person consultation.
You can ask any further questions on WhatsApp, and we can also have a video call if you’d like.
Hello my name is Aneela I’m looking at getting revision rhinoplasty done what’s the cost etc?
Hi Aneela, you can send your photos through WhatsApp so that I can personally review them and provide a more accurate assessment.
The cost depends on the complexity of your case and the condition of your nasal structure after the previous surgery. You can find the general package price at the top of this post, it includes the full surgical process: consultation with me before surgery, pre-surgery medical tests, professional medical photography, hospital and operation, medication after surgery, post-surgery check-up, and follow-up after returning home.
Once I review your photos, I’ll be able to give you a more precise quote and discuss suitable dates.
Hi doc I had a rhinoplasty a year ago but unfortunately the result is not what I hoped for. The bridge of my nose was made too flat and straight and now I have a small bump on the side and another on top of the bridge. Also there is some fullness at the tip and slight breathing issues.
I am really anxious about going back to the original surgeon, so I am wondering is it possible for another doctor to correct these small irregularities in-office without revision surgery? Mainly smoothing the bumps and giving a bit of shape back to the bridge sides.
I am 40 and quite nervous about undergoing another surgery unless absolutely necessary. Would love to know if any of this could be handled in a less invasive way by a different doctor. Thank you
Hello there, In some cases, small irregularities on the nose such as minor bumps or asymmetries can be improved non-surgically with precise filler injections (non-surgical rhinoplasty). This can help smooth the bridge and restore contour without surgery.
However, fillers have limitations. If the issues are due to structural changes (like cartilage or bone irregularities, or functional breathing problems), then surgical revision may be the more effective and lasting solution. That said, a consultation and examination would be necessary to evaluate whether non-surgical correction is a safe and realistic option for your case.
Hi doc boromand I have a question. I am thinking to do revision rhinoplasty, it will be my second time. I am a bit worried will my nose be more fragile after the surgery? I see sometimes after nose surgery the bone can get weaker. If yes, for how long it stays fragile? Thank you
Hi, It’s completely natural to be concerned about the structure and strength of your nose after a revision rhinoplasty. While it’s true that the nose can be more delicate during the healing period especially after a second surgery this does not mean it will remain permanently fragile.
During the first few months after surgery, the nasal bones and cartilage are still healing and can be more vulnerable to trauma. However, once the healing process is complete (usually around 12 to 18 months), the structural integrity of the nose generally stabilizes.
In most cases, with proper surgical technique and careful healing, the nose should not be significantly weaker long-term.
If you’re considering revision rhinoplasty, it’s important to discuss your case in detail with your surgeon. We evaluate the current condition of the nasal structure, the previous surgical changes, and the quality of the tissue and cartilage before planning the procedure.
Feel free to reach out if you have more specific concerns or would like a consultation.