Rhinoplasty is a difficult operation in the best of hands and must always be performed with great thought and care. When the results of a primary rhinoplasty result are suboptimal, often due to a combination of cosmetic and functional concerns, the patient has several difficult decisions to make. Should she/he return to the original surgeon for a revision? If not, how does one decide which surgeon should perform a revision operation? And finally, the patient may ask themselves, “Do I really need a revision operation and how do I know the results will be positive this time around?” These are challenging questions and Dr. Guida can objectively help patients decide which direction to go in.