Revision Rhinoplasty in London
Mr Florian Bast Rhinologist and Rhinoplasty Surgeon London
Revision Rhinoplasty is a specialised surgical procedure used to correct or improve the results of a previous nose surgery. Some patients seek revision rhinoplasty because they are unhappy with the appearance of their nose. Others experience functional issues, such as difficulty breathing.
It is not uncommon for concerns to appear weeks or even months after surgery, as the healing process develops. In some cases, swelling and bruising may settle unevenly, or changes in the nasal structure may affect both appearance and airflow.
Mr Florian Bast, Consultant Rhinologist, ENT and Facial Plastic Surgeon, has extensive experience in complex revision rhinoplasty. He combines precise surgical technique with a detailed understanding of nasal function. His aim is always to restore both comfort and a natural-looking result.
Clinically reviewed by Mr Florian Bast MD FRCS.
Mr Florian Bast, ENT and Facial Plastic Surgeon. Winner of Best Surgical Result at the Aesthetic Awards 2025.
Why choose Mr Florian Bast for Revision Rhinoplasty?
Mr Florian Bast MD FRCS is a Consultant ENT and Facial Plastic Surgeon with experience in Primary Rhinoplasty, Revision Rhinoplasty and Septorhinoplasty.
Specialist training in ENT Surgery
Mr Bast completed his specialist qualification in Ear, Nose and Throat Surgery in Germany in 2011.
GMC registration number: 7381518.
Further specialist training in London
He undertook a fellowship in Craniofacial and Facial Plastic Surgery at Chelsea and Westminster Hospital, developing further expertise in complex facial and nasal surgery.
Recognition for surgical outcomes
Mr Bast was awarded Best Surgical Result at the Aesthetics Awards 2025, recognising the outcome of his aesthetic and functional nasal surgical work.
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Guide to a revision rhinoplasty procedure with specialist
Mr Florian Bast.
MR FLORIAN BAST EXPLAINS
What Is Revision Rhinoplasty?
Revision Rhinoplasty is a secondary nasal surgery performed after a primary rhinoplasty. It is usually more complex because the original nasal structure has already been changed.
During the first procedure, cartilage and bone may have been removed, reshaped, or weakened. As a result, revision rhinoplasty surgery often involves rebuilding and supporting the nose, rather than simply refining it.
Scar tissue can also make the surgical procedure more challenging. This is why choosing a specialist in ENT revision rhinoplasty is essential.
There are two main approaches:
Open revision rhinoplasty, which allows full access to the nasal bone and cartilage
Closed revision rhinoplasty, where all incisions are made inside the nose
Both techniques are effective. The choice depends on your anatomy, medical history, and the level of correction needed.
When This Procedure Can Help
Patients may consider revision rhinoplasty if they experience ongoing concerns after previous nasal surgery. These may include:
Functional issues affecting airflow or comfort
Collapse of the nasal tip or bridge
Persistent swelling and bruising that does not settle
Dissatisfaction with the final aesthetic results
Poor healing after a previous procedure
MR FLORIAN BAST EXPLAINS
How Revision Rhinoplasty Surgery
Is Performed
Revision rhinoplasty surgery is carried out in a hospital under general anaesthetic.
The procedure begins with a detailed plan based on your initial consultation, medical history, and previous surgery. Mr Bast carefully analyses the nasal structure, including the nasal bone, cartilage, and airflow.
During surgery, he may:
Reshape or reposition cartilage and bone
Use grafts to rebuild support where needed
Correct structural weaknesses
Improve airflow within the nasal passages
Because this is a more complex surgical procedure than primary rhinoplasty, it may take longer. The exact duration depends on the level of correction required.
The decision between open rhinoplasties and closed rhinoplasties is made based on what will give the safest and most precise result.
Real Patient Results
MR FLORIAN BAST EXPLAINS
Frequently Asked Questions
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Yes. Revision rhinoplasty is more complex because the nasal structure has already been altered. Scar tissue and previous changes make surgery more technically demanding.
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The initial recovery period is around 1-2 weeks. However, the full healing process can take up to 12-18 months, as swelling gradually settles.
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Yes. Many patients experience improved airflow, particularly when functional issues are addressed during surgery.
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Open rhinoplasty allows greater visibility of the nasal structure. Closed rhinoplasty avoids external incisions. The best option depends on your case.
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Costs vary depending on the complexity of surgery. A full quotation is provided after consultation.
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As with any surgical procedure, Revision Rhinoplasty carries potential risks and complications. Expected short-term effects can include swelling, bruising, nasal congestion, tenderness and temporary changes in sensation or sense of smell.
Because the nose has previously undergone surgery, Revision Rhinoplasty can be more complex due to scar tissue, altered anatomy and changes to the available cartilage or structural support. Recognised complications can include bleeding, infection, delayed healing, scarring, changes in nasal breathing, asymmetry or contour irregularities. Less commonly, septal perforation, persistent changes in sensation or reduced structural support may occur.
The final outcome cannot be guaranteed, and healing following Revision Rhinoplasty can take longer than after a primary procedure. In some cases, further surgery may be considered if functional concerns remain or additional refinement is required.
Mr Florian Bast will carefully assess your previous surgery, nasal structure and individual circumstances and discuss the potential benefits, limitations and risks with you before proceeding.
Mr Florian Bast offers expert Revision Rhinoplasty London and advanced Rhinology, ENT and Facial Plastic Surgery across a number of leading hospitals in London. Patients seeking revision nose surgery for aesthetic refinement, functional issues or concerns after previous surgery can consult Mr Bast at King Edward VII’s Hospital in Marylebone, Montrose Clinic, LIPS Healthcare Battersea, Cromwell Hospital, Cadogan Clinic, The Lister Hospital, Weymouth Street Hospital, Guy’s Hospital and St Thomas’ Hospital, and Sydney Street Diagnostics Centre and hospitals near Harley street. Known for his expertise in complex nasal anatomy and revision cases, Mr Bast provides tailored care at every stage, from initial consultation and surgical planning to recovery and final results.