Dr George Marcells

Dr George Marcells

We’ve all heard of Rhinoplasty, or a nose job, and it’s an extremely common plastic surgery procedure. But what happens when it goes wrong? Unfortunately, this is an all too common occurrence and many patients end up going back for a second operation. This is called a Revision Rhinoplasty. We talk to Dr George Marcells, one of the foremost experts in Rhinoplasty in Australia about what is involved in a Revision Rhinoplasty procedure.

Why have a Revision?

Whether it was for financial or personal reasons you went to your initial surgeon; if you just don’t like your new nose; or if the functionality of your nose has been compromised by the initial rhinoplasty surgery; all of these are reasons as to why you might head back to the operating theatre a second time. Dr Marcells says, “Aesthetic concerns, functional issues or, in many instances, both, drive the need for a revision rhinoplasty. The more common issues from primary rhinoplasty have to do with having too much removed from the nose structure or having too little taken off. Symmetry is another common issue. Unusually, excessive scarring may also lead to problems requiring a revision procedure.”

Your nose is right in the middle of your face. You can’t miss it! Changing it’s shape even slightly is going to change how you look. It’s important to get it right. Not only that, even slight changes in the nose’s shape can affect the functionality – and the nose’s function is pretty important! Breathing is not something you want compromised! You can read more about the medical reasons why the functionality of your nose might be affected.

Common nose revision corrections

Dr Marcells says there are countless things that can go wrong with a nose job, which is why it is considered the most difficult of all the plastic surgery procedures. However some of the more common issues he corrects during a revision rhinoplasty are:

  • Asymmetry of the nose tip or a pinched appearance
  • Pointy or uneven appearance of the tip (often due to nose cartilage protrusion)
  • Crooked or off-centre nose bridge
  • Scooped out bridge of the nose, also known as ‘saddle nose’
  • Deformity or disproportionate nose
  • An ‘inverted V’ look to the sides of the nose, which happens when too much of the middle cartilage is removed
  • Nasal obstruction, leading to whistling, snoring or in extreme cases, difficulty breathing.

Due to the delicate nature of the nose, and the precise combination of science and art, nose surgery is perhaps one of the most important plastic surgeries to ensure you have the right surgeon. However, even with a highly skilled surgeon, there are potential risks with any surgery and Dr Marcells tells us some of the specific ones for a revision rhinoplasty include:

  • Nosebleeds
  • Breathing difficulties
  • Numbness in the nose and surrounding areas
  • Uneven or asymmetrical results
  • Scarring
  • Pain, discolouration or swelling

If you have already had an unsuccessful rhinoplasty, then it’s important to make sure you are completely confident with your second surgeon to get the revision right. Dr Marcells says, “If primary rhinoplasty offers only limited scope to a surgeon, revision surgery, with so much less tissue to work with, offers even less scope.”

Nose Revision Recovery

There is definitely a recovery time with revision nose surgery and you should expect to have at least two weeks off work to allow any swelling, bruising, bleeding and pain to subside. You will have your nose cast on for two weeks after the surgery and so it’s recommended to take it easy over this time frame – no exercise, work or sport for the two weeks. Dr Marcells says that a good surgeon will go through with you exactly what to expect in the recovery from a nose revision so there are no unexpected surprises and you are fully prepared.

Choosing the right surgeon – the most important thing you can do for a nose revision surgery

We can’t reiterate enough how important it is to choose a surgeon who has extensive experience and is highly skilled in rhinoplasty to do any nose revision surgery. Dr Marcells is considered a Master of Rhinoplasty, and should definitely be on your short list of surgeons to consult with should you be requiring nose revision surgery. To arrange a consult with Dr Marcells contact his clinic on 1300 555 095. You should also take the time to check out his before and after photos on his website.


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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