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.
This Orlando, Florida woman experienced poor outcomes from a prior rhinoplasty done elsewhere. She was missing cartilage on one side of her nose, and she disliked the long, pointy, and over-projected look of her nose when viewed in profile. Dr. Gross performed a breathing improvement revision rhinoplasty with cartilage grafting. He repaired h... Read More
Case #518 | Rhinoplasty | Orlando. This patient had a broken nose and a collapsed 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 sh... Read More
Case #243 | Revision Rhinoplasty: After her first nose surgery, this Orlando, FL woman had a full nasal tip called a "polly beak" deformity and was imbalanced aesthetically. Dr. Gross refined her nose in our Orlando-area surgery center with revision rhinoplasty, tip plasty, scar tissue removal, and structural grafting to support and impr... Read More
Case# 854 | Revision Rhinoplasty. This 28 year old woman from central 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 breath... Read More
Case #223 | Rhinoplasty: This young woman had Rhinoplasty to reduce the size of her nose and for a more feminine appearance. Dr. Gross performed surgery to refine her tip, straighten her nose, and to narrow the bridge. Cartilage grafting, osteotomies, and tip plasty were required. Her outpatient procedure was performed in our O... Read More
Case #224 | Revision Rhinoplasty: She was bothered by the tip of her nose and wanted a younger appearance. Dr. Gross performed a rhinoplasty to refine her nose tip and a mini lift to tighten the jawline. Cartilage grafting was required to repair her nose from prior surgery.Location: Orlando, FL Read More
Case #696 | Rhinoplasty | Orlando, FL: This 25-year-old woman was unhappy with the results of a previous rhinoplasty from ten years prior. She had breathing issues and felt that the tip of her nose was too long. Dr. Gross performed a revision rhinoplasty with septoplasty to improve her breathing, shorten the tip, and give her nose a smaller a... Read More
Case #233 | Revision Rhinoplasty: This patient had 3 previous Rhinoplasties in Colombia and was left with a shortened, over-rotated tip. The tip of her nose was too short. She desired a longer nose that looked more natural. Dr. Gross repaired the damage to her nose in our Orlando surgery center using complex grafting techniques and a dorsal i... 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
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.
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, or call our office at