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Revision Rhinoplasty
Board-certified plastic surgeon Dr. David Cangello specializes in revision rhinoplasty for patients unhappy with previous nose surgery results. As one of only 139 members of The Rhinoplasty Society worldwide, Dr. Cangello combines surgical precision with artistic vision to create natural-looking results in Manhattan and throughout New York City.
Why Choose Dr. Cangello For Revision Rhinoplasty
Revision rhinoplasty is one of the most complex procedures in plastic surgery. It requires not only advanced surgical skill but also a deep understanding of nasal anatomy, function, and aesthetics. Dr. David Cangello, MD, FACS, is a board-certifiedplastic surgeon with a focus on rhinoplasty who is recognized as a leading expert in revision cases.
As a member of The Rhinoplasty Society—an invitation-only organization limited to only 139 surgeons worldwide—Dr. Cangello represents the highest level of rhinoplasty expertise. His commitment to natural-looking results, combined with his artistic background and specialized training, makes him an ideal choice for patients seeking revision rhinoplasty in New York City.
What Sets Dr. Cangello Apart
Rhinoplasty Society Member (Only 139 Worldwide)
The Rhinoplasty Society is the most exclusive professional organization for nose surgeons globally. Membership is by invitation only and reserved for surgeons who have demonstrated exceptional skill and dedication to rhinoplasty. Dr. Cangello’s membership reflects his standing as a world-class rhinoplasty specialist.
Newsweek-Recognized Best Rhinoplasty Surgeon (2025)
Dr. Cangello was recently honored by Newsweek as one of the nation’s Best Rhinoplasty Surgeons for 2025, recognizing his consistent excellence and innovative approach to nasal surgery.
Attending Plastic Surgeon at New York Presbyterian & Manhattan Eye, Ear and Throat Hospital
Dr. Cangello serves as an attending plastic surgeon at New York Presbyterian, one of the nation’s premier hospital systems, reflecting his standing within the New York City medical community. He is also an attending plastic surgeon at Manhattan Eye, Ear and Throat Hospital (MEETH), home to one of the longest-standing and most prestigious aesthetic surgery fellowships in the country. In this role, Dr. Cangello is actively involved in teaching and mentoring aesthetic surgery fellows, further contributing to the advancement of rhinoplasty and facial plastic surgery.
Multiple Hospital Affiliations
Dr. Cangello maintains attending privileges at three major NYC institutions:
- Lenox Hill Hospital
- Manhattan Eye, Ear and Throat Hospital (MEETH)
- New York Presbyterian Lower Manhattan Hospital
These affiliations indicate his high surgical volume and the trust placed in him by leading medical institutions.
Extensive Media Recognition
Dr. Cangello has been featured as a rhinoplasty expert in:
- CBS News (medical contributor)
- Harper’s Bazaar
- People Magazine
- Bravo
- Elle
- InStyle
- Seventeen Magazine Online
- Refinery29 Online
Additional Professional Recognition
- Castle Connolly Top Doctor
- New York Times Super Doctor
- Newsweek Best Rhinoplasty Surgeon (2025)
- RealSelf Top Doctor
- OpenCare Patient’s Choice Award
- Member, American Society of Plastic Surgery (ASPS)
- Fellow, American College of Surgeons (FACS)
- Member, New York Regional Society of Plastic Surgery
- Member, New York State Society of Plastic Surgeons
Artist and Surgeon
Dr. Cangello’s unique background as both an accomplished artist and surgeon gives him an exceptional eye for facial aesthetics. He believes that plastic surgery is both a science and an art. His artistic training allows him to understand nasal proportions and symmetry at a level that translates directly into superior surgical results. His artwork is displayed in his office, reflecting his commitment to beauty and precision.
State-of-the-Art Facilities
Dr. Cangello’s NYC office features a state-of-the-art, fully accredited (AAASF) operating room where most procedures are performed. The facility is equipped with the latest surgical technology, including Piezo Ultrasonic equipment for precise bone reshaping. For patients who prefer a hospital setting, Dr. Cangello maintains operating privileges at Lenox Hill Hospital and Manhattan Eye, Ear and Throat Hospital.
Personalized Care and Transparent Communication
We understand that plastic surgery can be a source of anxiety for some patients. From your initial consultation through your final follow-up appointment, our goal is to ensure you feel informed, comfortable, and confident in your decision. Dr. Cangello takes time to listen to your concerns, answer your questions, and create a treatment plan that aligns with your aesthetic goals and preferences. He is committed to clear, honest communication, explaining the details of your surgery and discussing realistic expectations.
Proven Track Record
With extensive experience in complex revision cases, Dr. Cangello has a proven track record of delivering excellent results. His patient satisfaction ratings across multiple platforms (4.3-4.8 stars) reflect his commitment to excellence.
Understanding Revision Rhinoplasty
What Is Revision Rhinoplasty?
Revision rhinoplasty, also called secondary rhinoplasty or corrective rhinoplasty, is a surgical procedure performed to correct or improve the outcomes of a previous rhinoplasty. It addresses aesthetic concerns, functional problems, or unsatisfactory results from an initial nose surgery.1 Studies estimate that over 15% of rhinoplasty patients are not satisfied with their results and that almost 10% of patients will seek revision rhinoplasty.2
Revision rhinoplasty is significantly more complex than primary rhinoplasty because it involves working with altered nasal structures, scar tissue from the previous surgery, and potentially compromised blood supply. The nasal anatomy has been changed, and cartilage may have been removed or repositioned, making the revision surgeon’s job considerably more challenging.
Why Revision Rhinoplasty Is More Complex Than Primary Rhinoplasty
Revision rhinoplasty is a very complex procedure that should only be entrusted to a highly experienced rhinoplasty surgeon.3
Scar Tissue and Altered Anatomy
Previous surgery creates scar tissue that can limit surgical access and affect healing. The nasal structure has already been altered, requiring the revision surgeon to work within these constraints while achieving the desired aesthetic and functional improvements.
Limited Cartilage Availability
If cartilage was removed during the initial surgery, there may not be sufficient septal cartilage available for the revision procedure. In these cases, Dr. Cangello may harvest cartilage from the ear or use cadaveric rib cartilage to rebuild the nasal structure. This requires advanced grafting expertise.
Compromised Blood Supply
Previous surgery can affect the blood supply to the nasal tissues, which impacts healing and the surgeon’s ability to make certain changes. Dr. Cangello’s extensive experience allows him to navigate these challenges safely.
Higher Risk of Complications
Revision rhinoplasty carries a higher risk of complications compared to primary rhinoplasty, including infection, bleeding, asymmetry, poor wound healing, and the need for further revisions. Choosing an experienced surgeon like Dr. Cangello significantly reduces these risks.
Common Reasons for Revision Rhinoplasty
Patients seek revision rhinoplasty for a variety of reasons:
Aesthetic Concerns
- An “overdone” or unnatural appearance
- Incomplete dorsal height reduction (hump or bridge not reduced enough)
- Overly reduced dorsal height (bridge appears “scooped out”)
- Pinched or overly small nasal tip
- Asymmetry or imbalance
- Insufficient change from the original surgery
Functional Issues
- Obstructed nasal airways causing breathing difficulties
- Deviated septum
- Nasal valve collapse
- Airflow obstruction
Combination of Aesthetic and Functional Problems
Many patients require revision rhinoplasty to address both appearance and breathing function.
The Revision Rhinoplasty Procedure with Dr. Cangello
Consultation: The Foundation of Success
Your revision rhinoplasty journey begins with a comprehensive consultation at Dr. Cangello’s Park Avenue office in Manhattan. During this appointment, Dr. Cangello will:
- Review your concerns about your previous rhinoplasty
- Examine your nasal structure in detail
- Discuss your aesthetic goals and expectations
- Review your original surgical notes if available
- Explain the surgical options available to you
- Answer all of your questions
If you have documentation from your original surgery, please bring it to your consultation. This information helps Dr. Cangello understand what was done previously and plan the most effective revision approach.
Dr. Cangello takes time to understand each patient’s unique needs and goals. He never takes a “one size fits all” approach. Instead, he creates a personalized surgical plan tailored to your specific situation.
Surgical Planning
Revision rhinoplasty requires meticulous preoperative planning. Dr. Cangello will determine:
- Which nasal structures need to be corrected
- What surgical techniques will be most effective
- Whether cartilage grafting will be necessary
- The best approach (open or closed rhinoplasty)
- The extent of the procedure required
Some patients need only minor cosmetic adjustments and limited recontouring. Others require more complex procedures involving cartilage grafting, tissue reconstruction, or functional corrections.
The Revision Rhinoplasty Procedure
Anesthesia
Your revision rhinoplasty will be performed under general anesthesia to ensure your comfort and safety throughout the procedure.
Surgical Approach
Dr. Cangello may use either an open or closed rhinoplasty approach, depending on the complexity of your case. Open rhinoplasty provides greater visibility and access for complex revisions, while closed rhinoplasty may be appropriate for simpler cases.
Correcting Nasal Structures
During surgery, Dr. Cangello will carefully assess your nasal anatomy and make the necessary adjustments to achieve your desired outcome. This may involve:
- Reshaping existing cartilage
- Altering nasal bones
- Reconstructing cartilages that were overly resected or deformed during prior surgery
- Grafting cartilage to rebuild or reinforce nasal structures
- Correcting asymmetries
- Improving nasal function
- Refining the nasal tip
- Adjusting the bridge height
Cartilage Grafting
If there is insufficient septal cartilage available, Dr. Cangello may harvest cartilage from your ear or use cadaveric rib cartilage. Cartilage grafting is often necessary in revision cases and requires advanced surgical expertise.
Fascia Grafting
In some cases, Dr. Cangello may harvest fascia from the temple or abdomen to provide structural support or improve surgical outcomes.
Operative Time
Revision rhinoplasty typically requires a longer operative time than primary rhinoplasty due to the complexity of the case. Dr. Cangello will ensure that adequate time is devoted to achieving the best possible results.
Advanced Surgical Techniques
Piezo-Assisted Bone Cutting and Precision Reshaping
Dr. Cangello uses advanced technology to approach revision rhinoplasty with a high level of control and precision. He employs Piezo ultrasonic instrumentation to cut nasal bones, followed by the use of a surgical burr to carefully reshape them, allowing for refined structural adjustments while minimizing unnecessary trauma.
Subperichondrial Dissection in Revision Rhinoplasty
In complex revision cases, Dr. Cangello utilizes a highly specialized dissection technique that he learned during advanced training abroad and that is rarely taught or used by other surgeons in the United States. By dissecting in the subperichondrial plane, he is able to operate in a tissue layer that is typically untouched—even in revision surgery.
This approach offers several important advantages:
- Preservation of critical blood vessels, which is especially important in noses with compromised blood supply from prior surgery
- Reduced trauma to surrounding tissues, helping to limit postoperative bruising and swelling
- Greater surgical control and precision by avoiding dense scar tissue that can obscure anatomy and increase risk
- Protection of delicate nasal structures that may already be weakened from previous procedures
Together, the use of Piezo-assisted bone work and subperichondrial dissection allows Dr. Cangello to significantly minimize soft tissue trauma. As a result, patients often experience minimal—and in many cases little to no—visible bruising, along with reduced swelling, even in revision rhinoplasty cases. This is particularly notable because secondary procedures typically involve greater bruising and swelling due to the need to dissect through scar tissue. By operating within a virgin (subperichondrial) plane, this additional trauma is largely avoided, leading to a more controlled procedure and smoother recovery.
By combining advanced technology with refined surgical technique, Dr. Cangello is able to perform revision rhinoplasty with exceptional accuracy while prioritizing tissue preservation and natural-looking outcomes.
REVISION RHINOPLASTY RECOVERY AND RESULTS
What to Expect After Surgery
Immediate Post-Operative Period
You will experience some discomfort and swelling after surgery, which can be managed with prescribed medication. You may also notice bruising and swelling around the eyes. Dr. Cangello will provide detailed post-operative instructions to help you manage these symptoms and promote healing.
Splint Removal
Dr. Cangello will remove your nasal splint approximately one week after surgery. Most patients can return to work or school at this time, though you should avoid strenuous activity.
Swelling and Healing Timeline
- Week 1-2: Significant swelling and bruising; splint removed
- Week 2-4: Swelling begins to decrease; you can see initial results
- 1 Month: More defined results become visible
- 3-6 Months: Continued improvement as swelling resolves
- 6-12 Months:Final results fully manifest
Mild swelling can persist for up to a year, but most patients see substantial improvement within the first month and excellent results within 3-6 months.
Final Results
The final results of your revision rhinoplasty may take several months to a year to fully manifest. This is because:
- Swelling gradually resolves over time
- Tissues continue to heal and settle
- The nasal structure stabilizes in its new position
- Scar tissue matures and becomes less visible
It’s important to have realistic expectations and be patient during the recovery period. Dr. Cangello will provide guidance on what to expect at each stage of healing.
Natural-Looking Results
Dr. Cangello’s philosophy is to create results that look natural and harmonious with your facial features. He approaches each procedure as both a science and an art, ensuring that your revised nose complements your face and reflects your aesthetic goals.
Preparing For Your Revision Rhinoplasty
Before Your Surgery
Medical Evaluation
Dr. Cangello will conduct a thorough medical evaluation to ensure you are a good candidate for surgery. Be prepared to discuss:
- Your medical history
- Current medications
- Previous surgeries
- Allergies
- Smoking status
Medication Adjustments
You may need to adjust or stop certain medications before surgery. Dr. Cangello will provide specific instructions.
Smoking Cessation
If you smoke, you should stop at least two weeks before surgery to promote proper healing.
Arrange Transportation
You will not be able to drive after surgery due to anesthesia. Arrange for someone to drive you home and stay with you for the first 24 hours.
Time Off Work
Plan to take at least one week off work. If your job involves strenuous activity or heavy lifting, plan for additional time off.
Post-Operative Care Instructions
Dr. Cangello will provide detailed post-operative instructions including:
- How to care for your nasal splint
- Pain management strategies
- Activity restrictions
- When to resume normal activities
- Signs of complications to watch for
- Follow-up appointment schedule
Following these instructions carefully is essential for optimal healing and results.
Patient Testimonials and Results
What Our Patients Say
“Dr. Cangello is the Michelangelo of plastic surgeons. His aesthetic precision is unmatched. I recently underwent a rhinoplasty and was overjoyed with the outcome. At the consultation, Dr. Cangello rendered a freehand before and after drawing as he explained the procedure. I was amazed at the drawing’s accuracy and sculptural shading. I knew I was in good hands, as Dr. Cangello is more than a plastic surgeon- he is a truly gifted artist. The results were accurate and even exceeded my expectations. I would highly recommend Dr. Cangello.”
—Verified Google Review
“I was insecure about my nose for years & as I got older I finally wanted to do something about it, just didn’t know who to see or where to get it done. A patient told me about Dr. Cangello and showed me her results & I trusted her so I went for the consult. Dr. Cangello has an excellent bedside manner. My surgery was quick & my healing went well with his post op directions and a year later, I have the nose I always wanted!”
—Verified Google Review
“I got a rhinoplasty in December, 2024. Best decision I’ve ever made! Dr. Cangello and his staff were so kind and helpful during the entire process. Highly recommend!”
—Verified Google Review
FAQs About Revision Rhinoplasty
Revision rhinoplasty is more complex because it involves working with altered nasal structures and scar tissue from a previous surgery. The nasal anatomy has already been changed, and cartilage may have been removed, making the revision surgeon’s job considerably more challenging. Revision procedures typically require longer operative times and more advanced surgical techniques.
Dr. Cangello recommends waiting at least one year after your initial rhinoplasty before undergoing a revision procedure. This allows the nasal tissues to fully heal and stabilize, providing a better foundation for the revision surgery. In some cases, waiting longer may be beneficial.
As with any surgical procedure, revision rhinoplasty carries certain risks, including infection, bleeding, adverse reactions to anesthesia, asymmetry, poor wound healing, breathing difficulties, and the need for further revisions. However, choosing an experienced surgeon like Dr. Cangello significantly reduces these risks. Dr. Cangello will discuss all potential risks and complications with you before your procedure.
Most patients can return to work or school within one to two weeks. However, you should avoid strenuous activity for at least four to six weeks. Full recovery, including complete resolution of swelling, can take several months to a year. Dr. Cangello will provide specific guidance based on your individual case.
Initial results become visible within the first month after surgery. However, the final results may take several months to a year to fully manifest as swelling gradually resolves and tissues continue to heal. It’s important to be patient during the recovery period.
Yes. Revision rhinoplasty can address both aesthetic concerns and functional problems such as breathing difficulties. Dr. Cangello will work with you to achieve your goals for both appearance and nasal function.
If your revision rhinoplasty is performed to correct a functional problem (such as breathing difficulty), it may be partially or fully covered by insurance. However, if the procedure is purely cosmetic, it is typically not covered. Dr. Cangello’s office can help you understand your insurance coverage.
Dr. Cangello is one of only 139 members of The Rhinoplasty Society worldwide, reflecting his standing as a world-class rhinoplasty specialist. He combines advanced surgical expertise with an artistic background, enabling him to create natural-looking results. His specialized training with Dr. Sydney Coleman, academic appointment at Weill Cornell, and recognition by Newsweek as a Best Rhinoplasty Surgeon further distinguish him as a leading expert in revision rhinoplasty.
During your consultation, Dr. Cangello will evaluate your nasal anatomy, discuss your concerns and goals, and determine whether you are a good candidate for revision rhinoplasty. Most patients who are unhappy with their previous rhinoplasty results are candidates for revision surgery. Dr. Cangello will be honest about what can be achieved and what realistic expectations should be.
Schedule Your Revision Rhinoplasty Consultation
If you have had rhinoplasty and are unhappy with the results, revision rhinoplasty could give you a second chance to have a nose you love. Dr. Cangello understands that many patients feel embarrassed about being unhappy with their previous surgery results. From the moment you step into his Park Avenue office in NYC, you will experience a warm, welcoming environment where your privacy and comfort are paramount.
Dr. Cangello’s goal is for you to be informed and comfortable every step of the way. During your consultation, he will address your questions and concerns, evaluate your nasal anatomy, and discuss the best options to meet your aesthetic and functional goals.
Ready to Explore Your Revision Rhinoplasty Options?
Schedule a consultation with Dr. David Cangello in Manhattan today.
References
1 ASPS. Understanding revision rhinoplasty and why patients seek out this procedure. Available: https://www.plasticsurgery.org/news/blog/understanding-revision-rhinoplasty-and-why-patients-seek-out-this-procedure. Accessed December 10, 2025
2 Neaman KC, Boettcher AK, Do VH, Mulder C, Baca M, Renucci JD, VanderWoude DL. Cosmetic rhinoplasty: revision rates revisited. Aesthet Surg J. 2013 Jan;33(1):31-7. doi: 10.1177/1090820X12469221. PMID: 23277618. Available: https://pubmed.ncbi.nlm.nih.gov/23277618/. Accessed December 10, 2025.
3 Abbas OL. Revision rhinoplasty: measurement of patient-reported outcomes and analysis of predictive factors. Springerplus. 2016 Sep 1;5(1):1472. doi: 10.1186/s40064-016-3166-5. PMID: 27652047; PMCID: PMC5009061. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC5009061/. Accessed December 10, 2025.