Revision Rhinoplasty

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 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.

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.

Revision Rhinoplasty
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 23
Previous
Case: 1 of 23
Next
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 1 of 22

Revision Rhinoplasty

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, his appearance is complimented by a natural looking nose with good airflow. His nostrils are now even and his nose is straight.  He is very happy. Photos... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 2 of 22

Case #164

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 consulted with her in our Orlando office and performed osteotomies during Revision Rhinoplasty, which allow for needed narrowing of the bridge area. Her confidence was restored and... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 3 of 22

Case #223

Yaus 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. She is very happy and her nose is striaght! Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 4 of 22

Revision Rhinoplasty

Trina underwent initial nose job in another state but was unhappy with the results. She consulted at our Lake Mary office to correct the wideness of her bridge. Dr. Gross performed Revision Rhinoplasty with osteotomies to narrow the bridge area. She is very happy and continues her modeling career with greater confidence. (After photo by Jeff Hawkins... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 5 of 22

Case #44

Krista. Revision Rhinoplasty. She had a prior nose job and presented with bumps and a twisted tip. Dr. Gross performed Revision Rhinoplasty and helped her with her breathing. Cartilage grafting at the nasal tip and removal of scar tissue was needed to correct and reconstruct her nose. Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 6 of 22

Revision Rhinoplasty from Colombia

Diana had 3 previous Rhinoplasties in her country 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 using complex grafting techniques and a dorsal implant. Her final result is pleasing and balanced. Diana is very happy!  Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 7 of 22

Revision Rhinoplasty

Crista. Revision Rhinoplasty. After her first nose surgery, Crista had a round and full nasal tip and was imbalanced aesthetically. Dr. Gross refined her nose with Revision Rhinoplasty, tip plasty, scar tissue removal, and structural support to improve tip projection. She now has a more feminine and beautiful nose. Kenalog was used... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 8 of 22

Revision Rhinoplasty

Andrea previously had Septoplasty surgery which caused asymmetry and deformity of her nose. She was also bothered by nasal breathing problems. Dr. Gross used cartilage grafting techniques and Medpor ultra-thin implant to correct the deformities, straighten her profile, and improve the aesthetic balance of her nose. Her breathing was also greatly... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 9 of 22

Revision Rhinoplasty

Ashley. Orlando. Nose Job. This patient consulted for a Revision Rhinoplasty. The Before photo is how she looked following a nose surgery by another doctor. She was bothered by the residual hump on her nose profile and consulted with Dr. Gross to fix the problem. Revision Rhinoplasty with neck liposuction was done to improve her appearance.... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 10 of 22

Case #508

Amanda | Nose Job | Orlando.  This very pleasant 25 year old woman wanted her crooked nose fixed. She broke her nose age 16 playing soccer and the initial procedure did not correct her problem. In fact, her breathing got worse and then she consulted with Dr. Gross. He performed a cosmetic rhinoplasty with reduction tip-plasty, septal repositioning,... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 11 of 22

Revison Rhinoplasty

Jeny. 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
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 12 of 22

Revsion Rhinoplasty


Marcelle:  Age 64. Her nose was twisted and nostrils deformed after Nose surgery many years ago. Breathing was compromised from nasal valve collapse. The tip cartilages were scarred and her tip was too short and over-rotated. We performed ear cartilage grafting, tip plasty,... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 13 of 22

Case #552

Tabitha | Orlando | Rhinoplasty. This patient had prior nose surgery with a poor result and her nose was twisted and the tip deviated to her Right. Dr. Gross performed Revision Rhinoplasty with tip plasty and osteotomies to correct and straighten her nose. Results shown at 3 months and she is very happy. Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 14 of 22

Rhinoplasty | Orlando

Traumatic nose.  Her nose was shifted to the right after a childhood injury. Results shown 1 year after Revision Rhinoplasty demonstrate a corrected bridge and straighter nose.
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 15 of 22

Case #586

Aida.  This patient underwent previous rhinoplasty in Atlanta and had a poor outcome. Her nose was over-projected and the bridge was still too high. Dr. Gross performed a revision cosmetic rhinoplasty to lessen her tip (De-projection) and reduce the dorsal height. The nostril flare was also reduced with Weir nasal base surgery. Results are shown... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 16 of 22

Case #585

Andrea. This patient had prior rhinoplasty and was left with a low nasal profile in addition to curvature and breathing issues. Dr. Gross performed a cosmetic rhinoplasty and corrected her profile using a Implantech Flowers dorsal implant, in addition to osteotomies to correct her curvature. Photo shown at 1 year and she is very happy.... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 17 of 22

Revision Rhinoplasty

Fernando. Revision Nose Surgery. Age 58. This gentleman had injured his nose as a child and then had Nose surgery, which resulted in a botched nose job. He had a Saddle Nose deformity with missing bone on the nasal bridge. See arrow in Before photo. Dr. Gross performed revision rhinoplasty and placed an implant on the bridge... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 18 of 22

Case #364

Mary Beth. Age 53. Revision Rhinoplasty w/ Implant. Mary Beth had 2 prior nose surgeries before seeking Dr. Gross. Her issue was an over reduced nasal bridge and a thick nasal tip. This is called a 'Polly beak' deformity, as the nose looks like a bird's beak. Dr. Gross performed Revision Rhinoplasty to correct the problems and used... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 19 of 22

Revision Rhinoplasty

Chloe. Rhinoplasty. This pleasant 30 year old woman was bothered by the severe over-projection of her nose. Her septum was exposed and protruding out of her nose causing blockage. Dr. Gross consulted with her in the Lake Mary office and performed Computer Imaging to show expected results. He recommended 2 Stages of surgery due to the massive size... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 20 of 22

Revison Rhinoplasty | Excess Cartilage

Revision Rhinoplasty for Polly beak deformity.  Janet had prior nose surgery and was left with a scooped nasal bridge and excess cartilage in her nasal tip. Dr. Gross helped her by reducing the excess cartilage left at the tip and built up her bridge. Her final result looks more natural and her breathing is better. Polly beak deformity... Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 21 of 22

Revision Rhinoplasty | Nostril Reduction

Erin: Her nostrils were flared and she wanted a narrower nose tip. Dr. Gross performed nostril reduction & narrowing using tip plasty and Weir excision (nostril narrowing) techniques. Her After photo (3 months) shows no visible scar and smaller, less flared nostrils. A more refined nose is achieved.
Read More
Revision Rhinoplasty Before & After Photo | Orlando, Florida | Primera Plastic Surgery
Before & After
Case: 22 of 22

Case #489

Alex | Rhinoplasty | Orlando. Bothered by the overall size of her nose and thickness of the tip. Results after Dr. Gross scupted the tip with tip plasty and narrowed the nose bridge with osteotomies. Her nose is more refined and feminine. Photos shown at 6 months. Read More

Keep in mind that each patient is unique and your results may vary.

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

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.

Meet Dr. GrossRequest My Consultation Dr. Gross boards and certifications Dr. Gross boards and certifications

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.

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.

Learn More

Educational Diagrams

Gunter diagram of the front view of the noseGunter diagram of the side view of the nosePictured 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

Leading the Way in Patient Satisfaction

No matter where you prefer to do your research, you’ll find plenty of 5-star reviews for Primera Plastic Surgery. Dr. Gross and his team strive for complete patient satisfaction, and they’ll go above and beyond to ensure you’re happy with every element of your experience.

Learn More

Revision Rhinoplasty FAQ

  • How Much does revision rhinoplasty cost?
    At Dr. Gross’ Orlando practice, the cost varies per patient depending on what type of procedure he performs and a number of other factors. The cost averages from $10,500 to $12,500 (surgeon fee-only and NOT including anesthesia or facility fees), but your costs may differ. Your consultation fee is put toward the cost of your surgery. Dr. Gross is also pleased to offer his patients financing options to help them work revision rhinoplasty into their budgets.
  • 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 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.

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. If you would like to learn more, request a consultation today, or call (407) 333-3040.

Back to Top