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Revision Rhinoplasty

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Request a Consultation Surgeons in every specialty understand that a second surgery, or a revision surgery, is generally more difficult than the original procedure. That is particularly true for revision rhinoplasty. Surgeons with minimal training, less experience, and a lack of "aesthetic sense" are more likely to generate an inadequate result, an unhappy patient, and a "botched nose job." On the other hand, those surgeons who are highly focused in cosmetic nasal surgery, who have had intensive training and a high volume of rhinoplasty experience, have relatively few problems. Even in the most experienced hands, however, the need for a revision rhinoplasty, or "nose job," can arise. Orlando men and women often seek revision rhinoplasty from Dr. Edward J. Gross. He performs this procedure frequently, and he is renowned throughout Florida for his outstanding results and expertise.

Dr. Gross is a double board-certified facial plastic surgeon who provides individualized treatment to create balanced, natural-looking results with revision rhinoplasty. Request a consultation today, or call our office at (407) 333-3040.

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Individual results may vary.

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Case 21, Surgery for Men Case

Brian. Revision Rhinoplasty. The Before photo on left was his appearance after his first Rhinoplasty- done elsewhwere. His nose was deformed with a large residual hump and hanging columella. Dr. Gross performed Revision Rhinoplasty with bridge reduction and tip plasty. The After photo is 3 months Post-op, showing a markedly improved profile and a more confident young man. 

Case 188, Revision Rhinoplasty Orlando

Corey. Revision Rhinoplasty. Orlando. He had prior nose surgery but was unhappy with wideness, nostril asymmetry, curvature, and breathing problems. Following Revision Rhinoplasty by Dr. Gross, he is much happier and his appearance complimented by a natural looking nose with good airflow. His nostrils are now even and his nose is straight.  

Case 164, Revision Rhinoplasty Orlando

Trina had prior Rhinoplasty in West Virginia and was left with an hour-glass deformity of the bridge. Notice the wideness of her bridge in her Before photo. Dr. Gross performed osteotomies during Revision Rhinoplasty which allow for needed narrowing of the bridge area. Her confidence was restored.

Case 226, Revision Rhinoplasty Orlando

Andrea had undergone prior Septo-Rhinoplasty several years earlier with an ENT surgeon and was unhappy with her appearance. Her tip was drooping and curved- her breathing was obstructed also. Dr. Gross performed cosmetic Rhinoplasty revision with tip plasty, grafting, and bridge narrowing. Her After results shows a straight nose with better function. She is very happy now.

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Proven Techniques, Outstanding Results

Revision rhinoplasty can fix problems occurring during a primary rhinoplasty such as:

  • Under-resection (insufficient tissue removed)
  • Over-resection (excessive tissue removed)
  • Complications such as scarring, deviations, bumps, curvatures, collapse, and asymmetry
  • Breathing problems

See your results before surgery!

Our practice is among the few that use computer imaging to show potential results. With the help of this technology, Dr. Gross can reliably tailor a surgical treatment plan for the unique needs of each patient.

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Revision Rhinoplasty With a Facial Plastic Surgery Specialist

In revision rhinoplasty surgery, the key to preventing complications is the diagnosis before the procedure of potential anatomical and functional abnormalities. For example, you may desire a hump reduction, and we identify short nasal bones and a narrow middle vault. A thorough nasal evaluation indicates you are at risk for upper lateral cartilage subluxation from the nasal bones (inverted V deformity) and nasal valve collapse. The surgeon may have missed these telltale anatomical abnormalities during the initial rhinoplasty. Spreader grafts may be required. We always perform a detailed anatomical and functional evaluation of the nose using computer imaging, followed by a diagnosis of the nasal deformities.

"After identifying the problems and potential complications, we create a surgical plan while studying the computer images and discuss the rhino diagrams. We then prepare to use everything in our surgical toolkit – because an experienced Facial Plastic Surgeon always prepares for the unexpected."

– Dr. Gross

For some patients, Dr. Gross will order a CAT scan of the nose for further evaluation of the internal anatomy. This may identify areas of scarring, septal deformity, or turbinate problems.

The key to correcting many nasal deformities after rhinoplasty (or trauma) is to repair or structurally improve the septum. Dr. Gross corrects septal cartilage in a variety of ways to strengthen and support weakened areas, improve breathing passages, and soften any sharp edges along the nasal contour.

Occasionally, Dr. Gross places septal splints to keep the cartilage stabilized during the week of recovery. When septal cartilage is not available, he will use ear cartilage grafts to rebuild areas of the nose for improved appearance and function.

Educational Diagrams

Nose - Front View

Nose - Side View

Pictured here are Gunter diagrams of the front and side views of the nose. Dr. Gross uses these templates in Computer Imaging consults to review the nose anatomy with each patient and then modifies them to demonstrate corrections with Rhinoplasty. Education is key to a successful partnership with prospective patients and a cornerstone principle in our practice.

The lower lateral cartilages are seen in blue and comprise the nasal tip and nostrils. The beige areas are the upper lateral cartilages and comprise the middle section of the nose. The white areas are the nasal bones at the the bridge area. The yellow area seen on the right is the nose septum.

A Smooth Recovery

It may take a year or more for all the swelling to completely resolve after your revision rhinoplasty, and you may have some areas of scar tissue or asymmetry. These can be improved with digital compression, time, and occasional triamcinolone injections to break up any scar tissue.

To learn more about this procedure, please view our Revision Rhinoplasty FAQ.

"The most important attributes that you, the patient, can possess following revision nose surgery are patience and realistic expectations."

– Dr. Gross

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