Did Shirin David have a second nose job? Yes, and she said so herself

In a Q&A on Instagram, reported on 22 January 2021, she confirmed it and explained her reasoning: “Weil ich sie etwas feiner haben wollte. Bei meinem ersten Nose-Job habe ich so wenig wie möglich ändern lassen, denn was weg ist, ist weg” (“Because I wanted it a bit finer. With my first nose job I had as little changed as possible, because what's gone is gone”). She added that her nostrils were now narrower and the bridge of her nose a little straighter, and that she was “overjoyed” with the result.

That is all this article relies on. Shirin David did not name a clinic, a surgeon or a specific technique in that statement, and we do not guess at them. Where the text below explains methods and recovery, it describes rhinoplasty in general, not her treatment.

That is a common, unremarkable path in rhinoplasty, not a sign that anything went wrong the first time. This article does not comment on her appearance or judge her choice; the point is only that she chose to answer plainly instead of staying silent.

When a patient, unlike Shirin David, also has breathing problems from a deviated septum, the surgeon can correct that in the same operation — a combination usually called septorhinoplasty.

Which option applies, and how much further change is realistic given the tissue that is already there, is decided by the surgeon after an examination, not from a celebrity's story.

• Full nasal growth matters. The procedure is only done once the nose has finished developing, generally from the late teens onward.
• Breathing is checked first. A deviated septum or chronic sinus problems found at examination can be corrected in the same operation as the cosmetic plan.
• For a revision, timing matters. Surgeons usually prefer to wait until swelling from the first operation has fully settled, generally at least 12 months, before planning a second one.
• Health screening is required beforehand, and the surgeon reviews chronic conditions, allergies and medications; contraindications include acute infections, uncontrolled chronic disease, pregnancy and breastfeeding, and blood clotting disorders.

By three to four weeks patients generally feel comfortable in public, even though the tip — the slowest part to settle — keeps changing subtly for months. Revision cases can take a little longer to settle than a first operation, because of the scar tissue involved. The final shape, in either case, is only judged once swelling has fully resolved, at 12 to 18 months.

The operation is done under general anaesthesia with one day in the inpatient unit, and the final result is assessed at 12–18 months. More details are on the rhinoplasty page.

To be clear: City Medical Centre has no connection with Shirin David or her treatment. Her story is simply a recent example of a public figure who chose to speak openly about a second nose operation.