Surgeons in every specialty understand that a second surgery, called a revision or reconstructive 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. In Orlando, Winter Park, Tampa, Melbourne, and Daytona Beach, men and women often seek revision rhinoplasty from double board-certified facial plastic surgeon Dr. Edward J. Gross. He performs this procedure frequently, and he is renowned throughout Florida for his outstanding results and expertise.
Case #714 | Revision Rhinoplasty | Orlando, FL: This 43-year-old man was bothered by the fullness of his nasal tip and a crooked columella after a prior rhinoplasty in Turkey. Dr. Gross performed a cosmetic revision rhinoplasty with bridge straightening, tip plasty, (projection and rotation), and nostril narrowing. His nose is much straighter... Read More
Reconstructive/ Revision Rhinoplasty. Edwin lives in Orlando and injured his nose severely as a child and had trouble breathing. After Rhinoplasty/ nose surgery to repair the damage to his nasal bridge, his nose is straighter and his breathing improved by correcting the septal deviation. Cartilage grafting was required . This is conside... Read More
This Orlando, FL gentleman sustained major trauma to his nose and required Reconstructive Rhinoplasty with cartilage grafting and dorsal implant. His septum was deviated and this was also corrected to improve his breathing. He underwent a prior nose surgery that left him with deformity and scarring. Dr. Gross performed his outpatient procedur... Read More
This woman from the Orlando, FL area was bothered by an enlarged nose and tip after a botched Nose Job in Tampa. Dr. Gross performed Revision Rhinoplasty with tip plasty, cartilage grafting to correct dents/ bossae and nostril narrowing to achieve this result. She is very happy. Results shown at 3 months. Read More
This Tampa man had a poor result from his first rhinoplasty. His nose was deformed with a large residual hump (Polly beak deformity) and hanging columella. Dr. Gross performed a Revision Rhinoplasty (reconstructive) with dorsal hump reduction and tip plasty. The after photo is 3 months post-op, showing a markedly improved profile and a more c... Read More
Case# 787. Revision | Reconstructive Rhinoplasty | Orlando, FL. This 49-year-old gentleman had undergone a prior cosmetic rhinoplasty 20 years ago and had a poor outcome, which progressively worsened. The tip of his nose appeared over-operated upon and his side view showed marked over projection of his nasal tip. We reconstructed... Read More
This patient from Orlando had a broken nose and a deviated septum. She was referred by Dr. Collette, an Otolaryngologist in Orange City, FL. Her goals were improved breathing and a more refined look to her nose profile, which were achieved with Rhinoplasty and Septoplasty. Breathing is dramatically improved, and she sleeps better at night, wi... Read More
This 28 year old woman from Orlando, FL had a prior nose job in Volusia County 10 years ago. She was bothered by a crooked nose (leaning to the left), asymmetric/ flared nostrils and a residual dorsal hump. Dr Gross performed Revision Rhinoplasty and straightened her nose and corrected the nostrils. She breathes better and is very happy now.<... Read More
Keep in mind that each patient is unique and your results may vary.
How Much Does Revision Rhinoplasty Cost in the Orlando Area?
The cost of revision rhinoplasty at our practice near Orlando typically ranges from $10,500 to $13,500 (surgeon fee only and NOT including anesthesia or facility fees). The cost depends on several factors, including what type of procedure Dr. Gross performs, the extent of the revision needed, use of possible ear cartilage grafts, or Enduragen acellular dermal grafts. Your consultation fee includes computer imaging, all follow-up treatments for 1 year, and photographs. Dr. Gross is also pleased to offer his patients financing options to help them work revision rhinoplasty into their budgets.
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
The best candidates for this procedure must have a BMI below 30. Dr. Gross may also recommend that you use a product called Nose Perfect® if you’re experiencing swelling in the tip of the nose or if you have thick nasal skin.
Edward J. Gross, M.D.
Double Board-Certified Facial Plastic Surgeon
With 24 years in practice, Dr. Gross’ quality of care and results have earned the confidence and referrals of doctors throughout the region. His emphasis on patient education helps the men and women he treats feel comfortable and supported during their treatment.
Revision Rhinoplasty With a Facial Plastic Surgery Specialist
In revision or reconstructive 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.
Computer Imaging
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.
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 bridge area. The yellow area seen on the right is the nose septum.
“The most important attributes that you, the patient, can possess following revision nose surgery are patience and realistic expectations.”
– Dr. Gross
From A Patient's Perspective
Read and hear real people discuss their unique experiences and get a perspective that is sometimes missing from shorter reviews. These stories feature some of our actual patients describing their personal journeys and what makes Primera Plastic Surgery such a special place.
How common are revision rhinoplasties?
Statistics show that revision rhinoplasty is sought in about 5 to 10% of cases, depending on the type of initial rhinoplasty performed and various other independent factors.
What is revision rhinoplasty recovery like?
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.
What are some of the common problems that can occur after rhinoplasty? I had a bad “botched” nose job and may need more surgery to correct my nose. Complications in rhinoplasty may be categorized as functional (related to breathing) or aesthetic (related to appearance); often, there are elements of both. Problems after rhinoplasty commonly are due to under-resection (not enough taken off), over-resection (too much taken off), scarring, deviations, bumps, curvatures, collapse, and asymmetry. Also, sometimes abnormal scarring is a problem after rhinoplasty or even revision rhinoplasty. Various terms have been used to describe these problems: “nose job nightmare” or “botched nose job.” Suffice it to say, for revisions or repairs, it is best to consult with a dedicated rhinoplasty specialist, such as Dr. Gross.
Can revision rhinoplasty help if my first surgery made my nose too small? “In general, it is easier to fix problems relating to under-resection, because they can be fixed by going back and taking a little more,” according to Dr. Gross. Rhinoplasty problems caused by over-resection can be a little more complicated because material needs to be added, and technical factors arising from the need to add tissue must be considered. Asymmetries can usually be improved, but with less certainty. “I find the computer imager to be essential in diagnosing and formulating a treatment strategy based on the unique anatomy encountered in each patient’s case I review,” Dr. Gross says.
If you need to use grafting material to correct or rebuild my nose, what kinds of materials are used? Various materials are used. Most commonly, cartilage is taken from inside your nose, specifically the nasal septum, (or from your ear). We also use MEDPOR® or Silastic® silicone implants. These are selected based on your unique anatomy and customized to correct the area in need. They generally stay in for life and are not anticipated to be changed out or removed. The use of FDA-approved implants has proven to be a safe and effective method of treating bridge, side-wall, or tip deficiencies in revision rhinoplasty. “Tip plasty” involves reshaping the tip of the nose.
Can I wear glasses after revision rhinoplasty? Patients who want to resume wearing glasses almost immediately after the surgery can purchase an innovative product called RhinoShield®, a flexible, silicone device that protects the cartilage.
How long will a revision rhinoplasty last? Revision rhinoplasty is considered a permanent procedure, although you may experience minor changes to your nose as you age.
How many times can you revise a nose job? Although there is no specific limit, each successive rhinoplasty is more complicated. If you are considering revision rhinoplasty, talk about your concerns with an experienced revision rhinoplasty surgeon to determine if a revision is advisable.
How do I know if I need revision surgery on my nose? If you are dissatisfied with your rhinoplasty results or are experiencing breathing issues as a result of your initial procedure, a revision rhinoplasty may offer a solution in some cases.
Take the Next Step
Dr. Gross is a double board-certified facial plastic surgeon who provides individualized treatment to create balanced, natural-looking results with revision rhinoplasty. Women and men come from throughout central Florida, including Tampa, Melbourne, Jacksonville, and Daytona Beach, for Dr. Gross’ expertise in revision rhinoplasty. Request a consultation today, book online now, or call our office at
(407) 333-3040.
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.
