A revision rhinoplasty is harder than a first one and is priced accordingly. Scar tissue has to be worked through, the anatomy has been altered, and cartilage often has to be harvested from elsewhere to rebuild support. The American Society of Plastic Surgeons publishes a single average cost of rhinoplasty of $7,637 as a surgeon fee excluding anesthesia, operating room facilities and other related expenses, and does not break it out for revisions, which sit above it in practice.
Ask providers for a written price
Why no separate average exists
ASPS averages rhinoplasty as one procedure. Revisions are a minority of cases and vary enormously in difficulty, from a small refinement to a full structural rebuild with rib cartilage. Any average across that range would describe nothing. This record will not manufacture one; what it can say is that the $7,637 is drawn from rhinoplasty as a whole and that revision work is generally quoted above it.
Who pays when the first surgeon did the operation
That depends on a written policy agreed before the first operation. Some practices carry a stated revision fee, some charge facility and anesthesia only within a defined period, and some charge in full. Where the patient goes to a different surgeon, the second surgeon has no obligation at all and quotes as for a new and more difficult case. This is the single strongest argument for asking about revision policy at the first consultation.
What the bill looks like
The same six lines: surgeon, anesthesia, hospital or surgical facility costs, medical tests, post-surgery garments and prescriptions. A revision tends to be a longer operation, so the anesthesia and facility lines grow with it, and a graft harvest adds a second surgical site with its own dressing and recovery requirements.
Questions people ask about revision rhinoplasty
How much does a revision rhinoplasty cost?
No separate national average is published. The ASPS rhinoplasty average is $7,637 as a surgeon fee excluding anesthesia and facility, and revision work is generally quoted above it.
Will my original surgeon do it for free?
Only if a written policy says so. Policies range from a stated revision fee to charging in full, and they are agreed before the first operation, not after.
Why is it more difficult?
Scar tissue, altered anatomy and often a need to harvest cartilage to rebuild support. That is a clinical matter for your surgeon.
How long should I wait?
A clinical question rather than a pricing one. Surgeons generally want a nose fully settled first.