It’s another surgery for patients which had nose job before and weren’t happy with the results. Of course it is more risky, harder and has a lower success rate compared to primary rhinoplasty surgery. When the number of surgeries gone through before increases, risk increases and success rate gets lower. Scar tissue underneath the skin, loss of cartilage and bones and some other reasons make it harder to reshape the nose, and may require removing cartilage and use it from the ears or ribs. Even though these, I perform very successful revision surgeries. What’s important is to guess realistic results and to understand the patient expectations correctly. Instead of a perfect nose, the patient has to accept a nose with acceptable small defects.