Revision rhinoplasty corrects and improves the results of previous rhinoplasty such as the nose not having a balanced appearance, too much tissue removal making a pinched or narrow looking nose, breathing difficulties after surgery, too much cartilage removal making the nose weaker or the patient not having realistic expectations. Revision rhinoplasty is performed by either an open or closed technique. The surgeon might have to take tissue from other parts of the body or use synthetic implants. Ethnic revision rhinoplasty seeks to preserve the facial characteristics of ethnic patients including Middle Eastern, African American and Asian patients.