Revision Rhinoplasty

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.

Revision Rhinoplasty
 Before & After Photos

Case: 1 of 9
Case: 1 of 9
Nose Job | Orlando , FL
Revision Rhinoplasty Orlando, FL
Case: 1 of 8

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
Before & After
Case: 2 of 8

Revision Rhinoplasty | Orlando: This young woman was bothered by the overall size of her nose and thickness of the tip. Dr. Gross sculpted the tip with tip plasty and narrowed the nose bridge with osteotomies. Her nose is more refined and feminine. After photo shown at 6 months. Read More
Rhinoplasty | Nose Job | Orlando , FL
Rhinoplasty | Nose Job | Orlando , FL
Case: 3 of 8

Case# 835. Ethnic Revision Rhinoplasty.  This 35-year-old Hispanic man from Orlando previously underwent rhinoplasty at another location.  He was left with a residual dorsal hump and a droopy nose tip.  Dr. Gross performed revision revision rhinoplasty with structural tip rotation and removal of the dorsal hump.  He is ver... Read More
Revision | Reconstructive Rhinoplasty | Orlando, FL
Revision | Reconstructive Rhinoplasty | Orlando, FL
Case: 4 of 8

Revision | Reconstructive Rhinoplasty. This 52 year old man from Orlando, FL had broken his nice twice and couldn't breathe properly. He also had a large dorsal hump he didn't like. Dr. Gross helped him with Rhinoplasty, Septoplasty, and turbinate cautery. He rotated and supported his nasal tip as well.  Alar batten grafts were placed to... Read More
Before & After
Case: 5 of 8

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
Rhinoplasty | Nose Job | Orlando , FL
Rhinoplasty | Nose Job | Orlando , FL
Case: 6 of 8

Revision Rhinoplasty. This 26-year-old woman from Orlando was bothered by an over-projected tip and a long nose with a dorsal hump. We performed cosmetic rhinoplasty to reduce her bridge and de-project her nasal tip. The open approach incision is completely camouflaged and there is no visible scarring. She is very happy that her nose is more... Read More
Revision Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Revision Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Case: 7 of 8

Case #815 | Revision Rhinoplasty | Orlando, FL: This 26-year-old woman was unhappy with the results from a previous rhinoplasty. She sought out Dr. Gross because of his expertise with revision rhinoplasties. Dr. Gross performed a cosmetic revision rhinoplasty with nostril narrowing, tip grafting, tip rotation, and tip straightening. Her nose... Read More
Before and After | Revision | Reconstructive Rhinoplasty | Orlando, FL
Before and After | Revision | Reconstructive Rhinoplasty | Orlando, FL
Case: 8 of 8

Case# 919. Revision | Reconstructive Rhinoplasty | Orlando, FL. This 50 year-old woman had prior nose surgery and developed collapse, curvature and breathing problems.  Dr. Gross performed an open approach rhinoplasty with ear cartilage grafting to repair the collapsed nasal valves and an EnduraGen implant to build up the nasal bridge. &... 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.

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

A Reputation Built on Results

I’m about 20 days post op from my revision rhinoplasty and I’m very happy with the results thus far...
I’ve wanted a nose job ever since I started high school and I finally got to do it. On May 19th 2023...
Extremely happy with my experience at Primera Med Spa in Lake Mary. Joy is wonderful and really takes...
Professional, efficient, and pleasant .

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.

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Educational Diagrams

revision rhinoplasty illustrationrevision rhinoplasty illustration profile viewPictured 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

blonde woman smiling

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.

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Revision Rhinoplasty FAQ

  • 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.
Revision Rhinoplasty Videos

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.

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