During surgery of rhinoplasty, are there any indications to the surgeon that a previous rhinoplasty was performed? specifically, on the tip of nose.

Yes: Alterations of the cartilage and bony nasal structures are easily apparent.

Yes: A good plastic surgeon should be able to tell you've had a rhinoplasty even before operating on you. If they were to miss that, as soon as they began a large amount of scar tissue would be apparent. Don't try and let your surgeon "guess" if you've been operated on before. It can negatively affect your result. Give detailed information about what you had done.

Yes: Clean incisions in the cartilage , prior cuts in the bone, scar tissue and the results of bump removal are typically apparent at revision rhinoplasty surgery. So, yes a rhinoplasty surgeon can usually tell when prior surgery was done!

Revision rhinoplasty: During surgery, there are several indications of prior surgery. Changes and modifications to the tip cartilage, missing cartilage, and the presence of suture materials or scar tissue can give the surgeon a pretty clear picture of what was performed during the previous operation.

Yes: The dissection for rhinoplasty is quite different for patients who have had previous surgery. It is extremely important to let your physician know if you had a previous rhinoplasty as the surgery must be planned accordingly. You should not have any hesitation to give an honest history if you have a previous surgery.