The repetitive rhinoplasty surgery of a patient who has been operated before is called revision rhinoplasty. Revision surgeries can be in a wide range. Sometimes a small intervention is enough, sometimes it is necessary to reshape the entire nose. What is important here is how and to what extent the nose structure has been changed in previous surgeries or surgeries. In revision rhinoplasty, an intervention should be planned for the problem. When we put the positive and negative features on a scale, it is useful to decide on surgery if the interventions we can make are worth the risk. Especially skin problems are one of the most difficult problems to solve. In case of any skin defect or dissatisfaction with the shape of the nose due to skin thickness, it should be discussed in detail. While problems can be corrected mostly in revision surgeries, some problems cannot be fixed. Keeping the expectations realistic is the most important rule of this surgery.