If a previous Rhinoplasty left you with a result you did not expect, or concerns your first surgeon could not resolve, you are not alone. Revision Rhinoplasty is one of the most technically demanding procedures in facial surgery, and choosing the right specialist the second time matters even more than the first. Mr Taimur Shoaib holds one of the lowest audited revision rates in the UK, 3.5%, against a published literature average of around 10%. Your initial consultation is with Mr Shoaib personally, not a patient coordinator.
Medically Reviewed by Mr Taimur Shoaib, FRCS (Plast) | Last Updated: 16 June 2026
Finally I got my confidence back, and for the first time in years I feel that people see me and not my nose. Having had an unsuccessful Rhinoplasty many years ago and being extremely unhappy since, I couldn't have chosen a better Doctor to carry out my 2nd surgery. I am over the moon with my new nose.
Posted on Google, 14 November 2018Revision Rhinoplasty aims to correct an undesired aesthetic appearance of your nose caused by a previous Rhinoplasty surgery. It is a delicate procedure requiring one of the highest levels of specialisation from your Rhinoplasty surgeon. At Berkeley Square Medical, we are proud to be multi-award-winning Rhinoplasty specialists for both men and women, with one of the lowest revision rates in the UK. Many patients who come to us for revision had their first Rhinoplasty with a general cosmetic clinic rather than a Rhinoplasty-specific specialist, and that difference in training and caseload is often the root cause of the result they want corrected. Revision surgery with Mr Taimur Shoaib is offered as a single, fixed, all-inclusive fee.
Revision Rhinoplasty is one of the highest inquiries by patients in the cosmetic surgery sector for corrective surgery. Let us look at why this growing trend is happening and what you should consider before undergoing a revision Rhinoplasty.
The most reliable measure of a revision surgeon is published, audited outcome data, and Mr Shoaib's is exactly that:
There are three broad reasons patients come to us for a revision: the first result changed too little, the first surgery created a new concern, or the risks of the original operation affected the final result. In practice these show up as specific concerns with the tip, the bridge and profile, or the function and structure of the nose. Each is explained below, with examples corrected by Mr Shoaib.
The most common reason patients seek a revision is that the first result changed too little, usually a very conservative reduction that leaves you wanting more. A further reduction is often possible, though sometimes the framework of your nose limits how much more can safely be done. The tip is frequently left looking bulbous, or still too large for the face. These are the tip and nostril concerns we correct most often.
Residual or Recurrent Bulbous Tip
What happened: The nasal tip stays rounded or poorly defined after a previous Rhinoplasty, often because the underlying cartilage was left untreated or is masked by scar tissue.
How Mr Shoaib corrects it: Mr Shoaib refines the remaining cartilage and manages the scar tissue to improve definition while preserving the support the tip still has.
Pinched or Over-Resected Tip
What happened: Too much cartilage was removed at the first surgery, leaving a pinched, asymmetric or unsupported tip that can also affect breathing.
How Mr Shoaib corrects it: Structural grafts, often taken from the ear, rebuild a natural, supported tip shape.
Alar Retraction or Notching
What happened: The nostril rim has been pulled upward or notched after a previous reduction, exposing more of the nostril than is natural.
How Mr Shoaib corrects it: Carefully placed grafts lower and support the rim to restore a balanced nostril shape.
Sometimes the first operation creates a new concern it did not set out to. A common example is straightening a nasal hump without de-projecting the nose, so it still projects too far. The nose can also look larger from certain angles, or the bridge and nostrils wider than you expected. The bridge and profile concerns we see include the following.
Residual or Recurrent Dorsal Hump
What happened: A hump on the bridge was incompletely reduced at the first surgery, or has become more visible as the swelling settled.
How Mr Shoaib corrects it: Further controlled reduction refines the profile while preserving the integrity of the bridge.
Over-Resected or Scooped Bridge
What happened: Too much was taken from the bridge during the previous operation, leaving a saddle or scooped profile that looks operated on.
How Mr Shoaib corrects it: Autologous cartilage grafting restores natural height and a defined, stable contour.
Residual Deviation or Wide Bridge
What happened: The nose stays crooked or wide after a first Rhinoplasty, often because the bones were not fully reset.
How Mr Shoaib corrects it: Controlled osteotomies straighten and narrow the bridge, with structural reinforcement for a predictable long-term result.
The risks of the original operation can also affect the final result. Dips and bumps can appear along the contour of the bridge as the bone heals, more visible in natural light or photographs. Excess scar tissue can build around the tip and make it look bulbous, the bones may not have reset and left a deviation, and breathing can be left compromised. These functional and structural concerns include the following.
Breathing Problems After Rhinoplasty
What happened: Airway obstruction has been caused or left behind by the previous surgery, sometimes from a residual septal deviation or collapsed internal valves.
How Mr Shoaib corrects it: Functional correction and valve support restore airflow while maintaining external balance.
Loss of Structural Support
What happened: The framework has been weakened by earlier cartilage removal, risking gradual collapse or distortion over time.
How Mr Shoaib corrects it: A structural rebuild using your own cartilage restores support and protects the long-term result.
Precise, Low-Trauma Bone Work
What happened: Already-traumatised soft tissue is more vulnerable during a second operation.
How Mr Shoaib corrects it: Ultrasonic (piezo) technology allows selective bone contouring while protecting the blood vessels and skin, supporting a smoother recovery.
I've finally completed my decade long wait to have my Rhinoplasty! It's easy for me to say that I should have had this sooner, but with relationships and studying/working abroad etc, I've put this off longer than I should... (Read My Full Review on Google Reviews)
Thank you so much for your amazing work. I can’t explain enough how happy I am with the results from my Rhinoplasty surgery at Berkeley Square Medical with Mr Shoaib... (Read My Full Review on Google Reviews)
I selected Berkeley Square Medical :) and my consultation took place with Dr Shoaib in Harley street. My first impression entering their reception was brilliant!... (Read My Full Review on Google Reviews)
Thank you Dr Shoaib and Berkeley Square for giving me the best nose! As you know that I've wanted my Rhinoplasty for more than 3 years and I thought i would have to wait even longer because of the lockdown... (Read My Full Review on Google Reviews)
Finally I got my confidence back and for the first time in years.Having had an unsuccessful Rhinoplasty many years ago and being extremely unhappy since I couldn't have chosen a better Doctor to carry out my 2nd surgery... (Read My Full Review on Google Reviews)
My experience with Berkeley Square Medical has been impressive.They have been extremely supportive both prior the surgery, during the recovery and after. A special thank to Mr Taimur Shoaib for the masterpiece he delivered... (Read My Full Review on Google Reviews)
I had a rhinoplasty done at Berkeley Square Medical, and I cannot express how happy I am , currently 3 months post operation. Dr Shoaib prior to getting my surgery done made me feel extremely comfortable with addressing what I would like done to my nose with rhinoplasty... (Read My Full Review on Google Reviews)
Dr Shoaib for looking after me throughout my Rhinoplasty surgery. I've been unhurried and looked after through the entire process and that has meant a lot to me. I went with Berkeley Square and Mr Shoaib from two previous friends who have had great results with him last year...
Thank you Mr Taimur Shoaib and your team! My Rhinoplasty has made me feel normal and I certainly don't focus on my nose anymore as a problem. In fact I do actually remember it's something Mr Shoaib mentioned to me at my first consultation... (Read My Full Review on Google Reviews)
I'm extremely grateful to you guys! Not simply just the fantastic results Mr Shoaib performed for me, but to all the members of staff there. I really can't thank you all enough with the way you have cared for me. From making my decision for my nose surgery... (Read My Full Review on Google Reviews)
Absolutely over the moon for picking Mr Shoaib and his team for my surgery. The whole team at Berkeley Square Medical are simply amazing and efficient. Couldn’t recommend this clinic higher :) (Read My Full Review on Google Reviews)
Consultant Plastic Surgeon | GMC Number: 3615443
Mr Taimur Shoaib
Mr Shoaib is a Consultant Plastic Surgeon registered with the General Medical Council (GMC No. 3615443), specialising exclusively in primary, revision, and functional rhinoplasty. His surgical philosophy integrates Detailed Anatomical Assessment with proportionate facial analysis to achieve stable, natural-looking outcomes that preserve long-term airway health.
With a surgical career spanning over Three Decades, Mr Shoaib has performed aesthetic and reconstructive procedures for more than 19,000 Patients combined in NHS and Private Sectors. His practice is dedicated to Evidence-Informed Techniques and regulated, hospital-based care, consistently adhering to the most rigorous UK clinical standards and GMC safety protocols.
You can verify Mr. Shoaib's current licence and specialist status via the GMC's official portal here.
If you are reading this, you have most likely already had a Rhinoplasty and are weighing up whether a second operation is the right step. A revision journey is different from a first procedure. It begins with understanding what happened the first time, assessing how your nose has healed, and being honest about what surgery can and cannot safely achieve. The stages below explain exactly what to expect when you choose Mr Taimur Shoaib for your revision.
Because you have already had a Rhinoplasty, your revision consultation is a reassessment rather than a first conversation. Mr Shoaib will want to understand what was done before, what you hoped to achieve, and exactly where the current result has fallen short. Where possible, bring your previous operation notes, the name of your original surgeon, and any photographs of your nose before your first surgery.
Mr Shoaib will establish which technique was used, how long ago you were operated on, and whether any cartilage was removed or grafted. This history shapes what is realistically achievable second time around.
A nose that has been operated on contains internal scar tissue, and its cartilage may have been weakened, removed or repositioned. This is the single biggest difference between a primary and a revision, and it directly affects what can be safely changed.
Imaging is taken from your nose in its current, healed state, so that your goals and Mr Shoaib's surgical plan are aligned to your real starting point rather than to your nose before the first operation.
Mr Shoaib will tell you plainly whether a revision is advisable, whether it is better to wait, or whether the structure cannot safely take further surgery. Turning patients away when the risk is not justified is a deliberate part of his practice.
A revision is usually only appropriate at least 12 months after your previous surgery, so that swelling has fully resolved and the true final result of the first operation is clear.
Did you know? At Berkeley Square Medical, the revision rate for patients whose first Rhinoplasty was performed elsewhere and corrected here has remained at 0% since 2014.
The logistics of your surgery day mirror a primary procedure, but the operation itself is more involved. Here is what to expect from arrival to discharge at our private hospital on Harley Street, London.
You will be welcomed by our nursing team, settled into your private room, and a fresh set of pre-operative photographs will be taken as a baseline for your result.
Before surgery, Mr Shoaib will review the surgical plan with you and confirm the approach, then complete your consent.
Revision surgery frequently uses the open technique, because full access to the scarred and altered framework allows the most precise and predictable correction.
Where cartilage was removed or weakened during your first surgery, Mr Shoaib may rebuild support using cartilage from your ear or, for larger reconstructions, your rib.
Working through scar tissue and reconstructing support takes more time and care than a first procedure, which is why surgeon experience matters most in revision.
You will wake in your private recovery room under our team's care. Once you are comfortable and the team is satisfied, you will be given detailed aftercare instructions and chauffeur-driven home within London and Greater London as a complimentary service.
Recovery after a revision follows the same shape as a first Rhinoplasty, but is usually slower and less predictable, because the tissues have already been altered.
At Berkeley Square Medical we are one of the few clinics in the UK to offer a 24-hour online messaging service dedicated to supporting your recovery, with specialist rhinoplasty clinicians available throughout your healing.
Swelling, especially at the nasal tip, is slower to resolve in a revision. Visible refinement can take 12 to 24 months in complex cases as the nose re-settles and the skin adapts to the new framework.
Scar tissue is more aggressive in revision cases and can obscure the result for several months. Skin that has thinned from previous surgery may also redrape less easily.
Where appropriate, Mr Shoaib may use gentle steroid injections in the months after surgery to soften internal scar tissue and allow the contours to become more defined over time.
Your splint and any external micro-stitches are removed at around day 7. Internal stitches are dissolvable. Most patients return to desk-based work within 10 to 14 days.
You will be seen over a 12 to 24 month period with ongoing photographic assessment, and any functional concerns addressed during surgery are monitored throughout your recovery.
Revision Rhinoplasty carries the same risks as a primary procedure, with several that are more pronounced because of previous surgery. Mr Shoaib will discuss each of these honestly at your consultation.
Asymmetry can be harder to correct in a revision because the natural tissue planes have been disrupted and scar tissue can pull the nose during healing. Each layer, whether skin, cartilage or bone, is assessed and addressed separately.
Support may be compromised if too much cartilage was removed at the first surgery. Cartilage grafts from the ear or rib are used to rebuild and support the airway so the nose both looks and works well.
Scar tissue formation is less predictable in revision and can take many months to mature, which is why patience and close follow-up are essential.
Each revision carries a tighter margin for change. Sometimes a nose can only be improved so far without risking long-term harm.
If the structure cannot safely take further surgery, or the achievable improvement would be marginal and not justify the risk, Mr Shoaib will decline to operate. This restraint is the most important safety feature of his practice.
Revision is a more demanding procedure than a first Rhinoplasty, and it is not right for everyone. At your consultation Mr Taimur Shoaib carries out a full assessment of your healed nasal anatomy, skin quality, breathing and previous surgical history to determine whether a revision is the safest and most effective option for you.
With platforms like Instagram and TikTok shaping aesthetic trends, social media has a powerful influence on rhinoplasty decisions. But is it realistic to base your rhinoplasty expectations on filtered images and influencer “nose goals”?
In this video, we discuss the impact of social media on rhinoplasty research, from the popular “Instagram nose” to the peer pressure that comes with idealised filters. Learn why realistic rhinoplasty goals are essential and how social media filters may lead to unrealistic expectations.
Get insights on setting healthy, achievable rhinoplasty goals beyond the filters, and understand the true possibilities of nose surgery. Don’t forget to like, subscribe, and share your thoughts in the comments!
When it comes to rhinoplasty, one of the most important decisions is choosing between open and closed techniques. But what exactly does that mean, and how do you know which is right for your needs?
In this video, we cover the key differences between open and closed rhinoplasty, including incision placement, recovery time, and swelling. Discover why closed rhinoplasty often results in less swelling, faster recovery, and reduced risk of polly beak deformity, while open rhinoplasty may be preferred for certain cases.
Learn how each approach impacts lymphatic drainage, nose tip swelling, and overall results, helping you choose the best rhinoplasty technique for your goals.
Don’t forget to like, subscribe, and leave your questions in the comments!
Have you had non-surgical nose fillers and are now considering rhinoplasty for a more permanent solution? Many people start with fillers to improve their side profile or reduce a nasal bump, but rhinoplasty can offer lasting results and help reduce nose size.
In this video, we cover everything you need to know about transitioning from nose fillers to rhinoplasty, including how rhinoplasty differs from nose fillers, what to expect in a rhinoplasty consultation after fillers, and why you should avoid additional fillers before surgery.
Learn how rhinoplasty can reveal your nose's natural shape and provide the changes fillers can’t achieve. If you’re ready for a permanent solution, this guide will help you make an informed choice. Don’t forget to like, subscribe, and share your thoughts in the comments!
Thinking about getting rhinoplasty but don't live in London? No worries! In this video, we’re here to help you navigate the journey, even if you’re not based in the city. We understand that travel and logistics can be daunting, but with the right planning, you can still access top-quality care and achieve the results you want.
In this video, we cover Tips for finding a reputable rhinoplasty surgeon from a distance, Important factors to consider when travelling for surgery, How to plan your pre- and post-op consultations for minimal travel, Recovery recommendations when away from home.
From choosing the right surgeon to ensuring a safe recovery, we've got you covered with expert advice and real insights from our team at Berkeley Square Medical. Don’t let location be a barrier to your goals. With the right preparation, you can make the rhinoplasty process smooth and successful, wherever you're based!
In this video, we explore why patients often take longer to decide on rhinoplasty compared to other cosmetic procedures. From understanding personal motivations to setting realistic expectations, we discuss the unique factors involved in this decision-making process. Learn why choosing the right rhinoplasty surgeon, aligning on aesthetic goals, and planning recovery time are crucial steps in preparing for a nose job.
Join us as we discuss how a thorough consultation can help ensure that both patient and surgeon share the same vision for proportionality and outcomes. Whether you're considering rhinoplasty or simply curious about the planning process, this video offers valuable insights to help guide your decision. Don’t forget to like, subscribe, and share your thoughts in the comments!
Curious about what to expect during your rhinoplasty consultation? In this video, we guide you through the key steps in meeting with your rhinoplasty surgeon to discuss your goals, review realistic outcomes, and understand any potential risks. A consultation is a crucial step in your rhinoplasty journey, as it helps us understand your goals and design a plan tailored specifically to you.
Here’s what we’ll discuss in your consultation:
Your aesthetic goals and any functional concerns
A thorough analysis of your facial features to determine what's achievable
Reviewing surgical techniques to align with your desired outcome
Discussing recovery time and addressing any questions
At Berkeley Square Medical, we prioritise making you feel informed and confident every step of the way. This video provides an inside look into the rhinoplasty consultation process so you’re fully prepared for this important step. Don’t forget to like, subscribe, and share your thoughts in the comments!
Revision Rhinoplasty is one of the most technically demanding procedures in facial plastic surgery. Unlike a first-time (primary) Rhinoplasty, a revision involves correcting or rebuilding what has already been operated on, often in the presence of scar tissue, weakened cartilage, and unpredictable healing patterns. The stakes are naturally higher, but so too is the importance of experience and judgement. Mr Taimur Shoaib has performed hundreds of complex revision Rhinoplasty procedures, many of which involved correcting work carried out by other surgeons. His approach is deliberate and honest: he will not undertake revision surgery if the risks outweigh the achievable aesthetic or functional outcome. Revision Rhinoplasty is not about chasing perfection. It is about restoring balance, form, and confidence with care and precision.
Revision Rhinoplasty is not a procedure to be rushed or taken lightly. It demands experience, restraint, and a willingness to say no when necessary. Mr Taimur Shoaib's commitment to these principles is what sets his work apart, not just in London, but across the UK. If you are considering revision Rhinoplasty, know that the decision to operate must be based on anatomy, not just emotion. A well-timed, well-planned revision can restore confidence, but only when it is in the right hands, and for the right reasons.
For a full breakdown of prices, what is included and finance options, see our rhinoplasty cost guide.
£9,950
This fixed fee covers your entire surgical journey, not just the operation itself.
 | Your Full Consultation:£100 (Set Fee) Creditable Towards Your Set Surgery Fee Included With Consultation Summary E-Letter. | | TWO (2) Surgeon Consultations:1st - In-Person or Zoom Video Option Included. 2nd - On the Date of Your Treatment Included.
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| Revision Rhinoplasty Imaging Gallery:Front, Angle and Side Profile Gallery of the Predictive Visual Aim of Your Revision Rhinoplasty Treatment Included.
| | Pre-Operative Tests:The Pre-Operative (MRSA) Nasal Swab Test, Essential for Ensuring Safety Before Your Surgical Procedure Included.
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| Hospital & Anaesthetic Fees:All Hospital Fees, Private Room, Dedicated Nursing Team Assigned For Your Stay Included. | | Take Home After Surgery:All Medication And Garments Provided To Take Home After Surgery Fully Included.
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| Complimentary Chauffeur Home:Complimentary Chauffeur Drive Home After Surgery In London Included. Options For Living Outside London Included. | | 24-Hour Care Post Surgery:Online Messaging Service 24 Hrs For The First 14 days After Surgery Aftercare Guidance Included.
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| Post Operative Reviews:7-Day Post Operative Review Included. 1-3 Month Surgeon Review Included. 6-12 Month Surgeon Review Included. | | Non-Surgical Aftercare:Any Non-Surgical Nose Contouring Treatments Included. Any Swelling Reduction (Steroid) Treatment Included. |
Your safety and happiness are of the utmost importance to us. We want to assure you that we are with you every step of the way, and that includes ensuring your Revision rhinoplasty journey is as smooth and manageable as possible, both physically and financially. Below, you can explore our flexible payment options for our fixed £9,950 all-inclusive fee, allowing you to choose a plan that fits your lifestyle while you focus on your aesthetic aims.
Representative example. Subject to status. APR may vary.
Finance is provided subject to status. Taimur Shoaib is authorised and regulated by the Financial Conduct Authority. You can verify this status on the FCA Financial Services Register here .
The fixed, all-inclusive fee covers every consultation, your surgery and hospital stay, the anaesthetist, take-home medication, a chauffeur home, and all follow-up reviews to 12 months. Nothing is added later.
Every revision consultation is with Mr Shoaib personally, not a patient coordinator.
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Digital imaging is an essential component of our preoperative planning process at Berkeley Square Medical. It serves as a sophisticated communication tool, allowing you and your clinical team to align on the desired aesthetic and structural objectives.
Examples of Our Rhinoplasty Digital Imaging Service:
How the Imaging Process Supports Your Journey:
► Anatomical Alignment: Using specific measurements from your consultation, we create a 3D visual aim based on your unique nasal framework.
► Multidimensional Analysis: We generate front-facing, profile, and 45-degree angle simulations to ensure facial harmony from every perspective.
► Informed Decision Making: 97.8% of our patients report feeling significantly more confident in their surgical plan after reviewing their digital simulations.
Important Clinical Note: While imaging provides a realistic visual aim based on surgical goals, it is used for planning purposes and is not a guarantee of the final biological healing outcome.
Harley Street Medical District: Your surgery is performed at our private hospital in London's premier medical district, globally recognised for elite surgical standards.
Award-Winning Surgical Facility: We operate within the "Best Private Hospital London" (Medical Aesthetic Awards), ensuring a premium environment for your procedure and recovery.
CQC-Regulated Clinical Standards: Our hospital is fully accredited and strictly regulated by the Care Quality Commission (CQC), guaranteeing compliance with the highest UK safety protocols.
GMC Specialist Consultant Care: Every procedure is led by a Consultant on the GMC Specialist Register, supported by a dedicated team of clinical rhinoplasty experts.
Patient Journey We are here to guide you to make the right decision for your well-being. If you are considering an aesthetic change to your appearance, we know that it's one of the most important and personal decisions you wish to make. Therefore you need to be certain that the medical advice you receive is […]
Patient Aftercare All cosmetic surgery procedures at Berkeley Square Medical come with a comprehensive aftercare package and a 24-hour service so you can be assured you are always under the care and guidance of our surgical team. All your immediate aftercare is included in the cost of your surgery so there are no hidden extras in our […]
If you are considering Cosmetic Surgery, we understand that it's probably one of the most important decisions you're likely to make, therefore, you need to be sure it's right for you and you receive professional and independent advice about your procedure.
Our Philosophy We began our journey setting foot in the highly fashionable area of Berkeley Square, Mayfair where luxury fashion, galleries and five-star hotels all conveniently meet to set the example for world-leading client services and experience. Our goal was to create a cosmetic surgery practice that would not only exceed patients' expectations but provide […]
Revision Rhinoplasty at Berkeley Square Medical is a single, fixed, all-inclusive fee with Mr Taimur Shoaib. It covers your consultations, surgery, hospital, anaesthetist and a full programme of aftercare to 12 months, with no vague starting-from figure.
Yes. Revision Rhinoplasty works through scar tissue and the altered anatomy of the previous surgery, so it is more complex and demands a highly experienced specialist. Mr Shoaib's independently audited revision rate is 3.5%, well below the roughly 10% reported across the literature.
Often, yes. Many revisions restore both the appearance and the function of the nose, correcting breathing problems caused or left behind by earlier surgery. Mr Shoaib will assess this at your consultation.
Usually at least 12 months, so the tissues fully settle and the true result of the first operation is clear. Mr Shoaib will advise on the right timing for your case.
An experienced revision specialist. Mr Taimur Shoaib, FRCS (Plast), is on the GMC Specialist Register, a Fellow of the Royal College of Surgeons of Edinburgh, a member of BAAPS, ISAPS and UKAAPS, and has published peer-reviewed research on reducing Rhinoplasty revision rates.
Any questions, enquiries, or just looking for a consultation? Simply send your enquiry here and we will get back to you with a reply promptly.
