Does rhinoplasty REALLY go wrong very often?

I know that 20-30 years ago it wasn't that uncommon for rhinoplasty operations to go wrong but with all the technological advances we've seen since then it seems unfathomable people could still be getting too many botched jobs. So my question is: how often does this happen now? Is rhinoplasty an especially complicated procedure and that's why you still hear about people having bad experiences with them? I intend on getting a nose job myself and know how important it is to make sure your surgeon is certified by certain boards so I won't take any chances there. But is there something about rhinoplasty that just tends to go wrong more often? Why do I hear about botched nose jobs so often? It is a little off-putting.


F, 29, Massachusetts

Mastering the surgical techniques required for rhinoplasty can take a long time. Many first-rate plastic surgeons who have experience with other forms of cosmetic surgery may not be the right choice for rhinoplasty surgery -- which has its own set of technical skills.

For this reason, your choice of plastic surgeon is one of the most important parts in the process. If you choose a board-certified cosmetic surgeon who has extensive experience with nose surgery, the chances of anything going wrong are very slim.

It should be noted, however, that even the most skilled surgeons need to perform minor revisions on around 10% of their rhinoplasty patients. This revision surgery is almost always a small update performed after the bruising and swelling have gone down -- and rarely required to address the results of what some might call a "botched nose job".

Rhinoplasty is one of the most popular cosmetic procedures in the USA, with a high degree of excellent outcomes and patient satisfaction. In the hands of a skilled plastic surgeon the risks of a rhinoplasty gone wrong are very low. Don't let the fear of a bad nose job keep you from researching plastic surgeons and scheduling an initial consultation with one.

That said, for the best, safest results, always remember to only consult with a board-certified plastic surgeon. And be sure to do your own homework by reviewing before and after rhinoplasty pictures prior to making any decisions.

Dr. Alexander Ovchinsky has 10 Revision Rhinoplasty before & afters:

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Rhinoplasty plastic surgery is a common cosmetic surgical procedure with a high success rate when performed by a skilled rhinoplasty surgeon. I think the danger arises when patients visit surgeons who are not specifically skilled with rhinoplasty procedures -- even if they might be perfectly competent performing other cosmetic procedures.

The complexity of a rhinoplasty depends entirely on the presentation and specifics of the procedure at hand. There are multiple varieties of procedure (including open and closed rhinoplasty) with some that only focus on the nasal tip, the nasal bridge or the septum (septoplasty).

The best way to ensure your rhinoplasty results in an attractive nose that has a natural appearance and fits with your facial features is to choose a plastic surgeon who has extensive experience with rhinoplasty surgery. In the hands of a skilled, board-certified surgeon the chances of things going wrong are extremely low.

I encourage you to contact us for an initial consultation to discuss the options, risks and which procedures are right for you personally.