Revision Rhinoplasty

Surgeons in every specialty understand that a second surgery, called 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  and Winter Park 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. Women and men come from throughout central Florida, including Tampa, Melbourne, and Daytona Beach, for Dr. Gross’ expertise in revision rhinoplasty. Request a consultation today, or call our office at (407) 333-3040.

Revision Rhinoplasty
 Before & After Photos

Case: 1 of 9
Case: 1 of 9
Before & After
Case: 1 of 8

Case #223

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
Before & After
Case: 2 of 8

Case #188

Case #188 | Revision Rhinoplasty | Orlando: He had prior nose surgery but was unhappy with wideness, nostril asymmetry, curvature, and breathing problems. Following a 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 ve... Read More
Revision Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Revision Rhinoplasty | Dr. Edward Gross | Primera Plastic Surgery | Orlando, FL
Case: 3 of 8

Case #815

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
Revision Rhinoplasty | Orlando, FL
Revision Rhinoplasty | Orlando, FL
Case: 4 of 8

Case #799

Case# 799. Revision Rhinoplasty | Orlando, FL. This 31-year-old Iranian woman from the Orlando area had prior surgery on her nose and was disappointed with the results. Her nose leaned to the right, dropped, and the nostrils flared. Dr. Gross performed revision rhinoplasty to correct a crooked nose, lift the columella, improve the airway and... Read More
Revision Rhinoplasty | Before & After | Dr. Edward Gross | Orlando, FL
Revision Rhinoplasty | Before & After | Dr. Edward Gross | Orlando, FL
Case: 5 of 8

Case #850

Case #850 | Revision Rhinoplasty : This Orlando, FL patient was unhappy with the results of a previous rhinoplasty. She felt that her nose still protruded too far, the tip was bulbous, and the bridge was crooked due to a deviated septum. There were several factors that made hers a complex case. Dr. Gross performed a revision rhinoplasty with... Read More
Revision Rhinoplasty | Before & After | Dr. Edward Gross | Orlando, FL
Revision Rhinoplasty | Before & After | Dr. Edward Gross | Orlando, FL
Case: 6 of 8

Case #848

Case #848 | Revision Rhinoplasty | Orlando, FL: This young woman was unhappy with the results of a previous rhinoplasty. She had a small bump at the top of her bridge, and her nasal tip projected too far. Dr. Gross performed a revision rhinoplasty with tip rotation, tip narrowing, and a bridge reduction. He also shortened her nose and straigh... Read More
Nose Job | Rhinoplasty | Orlando , FL
Nose Job | Rhinoplasty | Orlando , FL
Case: 7 of 8

Case #708

Case# 708. | Revision Rhinoplasty. This 29 year old Orlando woman had 2 prior Rhinoplasties by a dentist resulting in a crooked nose, asymmetric nostrils, and nasal valve collapse. She also had prior trauma and broke her nose on 2 occasions. Dr. Gross performed Reconstructive Rhinoplasty using ear cartilage graft, rebuilt her missing medial c... Read More
Rhinoplasty | Submentoplasty | Blepharoplasty| Primera Plastic Surgery | Orlando, FL
Before & After
Case: 8 of 8

Case #700

Case # 700 | Revision Rhinoplasty | Minilift | Necklift | Blepharoplasty: This 48-year-old Orlando woman was unhappy with the results of a previous rhinoplasty many years prior. Her main concerns were a bulbous tip and wide nostrils. She also experienced breathing issues on one side of her nose. Additionally, she was bothered by sagging skin... 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?

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 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.

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.

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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.

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

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.

Read Patient Stories

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