Revision rhinoplasty, also known as secondary nose surgery, is a specialized procedure to correct or improve the results of a previous rhinoplasty. Whether the first surgery didn’t meet your expectations or created functional issues such as breathing difficulties, revision rhinoplasty can restore both form and function.
At Primera Plastic Surgery in Lake Mary, double board-certified facial plastic surgeon Dr. Edward J. Gross is widely recognized for performing complex revision rhinoplasty procedures for patients from Orlando, Winter Park, Daytona Beach, Tampa, Melbourne, and throughout Central Florida.
Why Florida Patients Choose Us for Revision Rhinoplasty
Plastic surgeons in every specialty understand that a second surgery, called a revision or reconstructive surgery, is generally more complex than the original procedure. This is particularly true for revision rhinoplasty, which requires advanced skill and precision to address scarring, structural changes, and previous surgical outcomes.
Surgeons with minimal training, limited experience, or a lack of aesthetic sense are more likely to create unsatisfactory results, leading to what patients often call a “botched nose job.” On the other hand, a specialist with extensive rhinoplasty training and a high volume of successful procedures, like Dr. Gross, dramatically improves the chances of achieving a natural-looking, balanced, and functional result. Dr. Gross also specializes in ethnic rhinoplasty to address unique anatomical and cultural considerations.
Dr. Gross frequently performs revision rhinoplasty at our Lake Mary practice and is renowned for his expertise and meticulous approach.If you’re considering revision rhinoplasty, request a consultation today, or call our office at
(407) 333-3040.
Revision Rhinoplasty. This Orlando, FL patient had a rhinoplasty elsewhere and she was dissatisfied. In particular, she disliked how her nasal tip pointed downward. Dr. Gross corrected the problems with her previous rhinoplasty by narrowing the bridge of her nose (osteotomies) and narrowing, straightening, and lifting her nasal tip (structura... 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
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
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 #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
This 30-year-old woman from Central Florida broke her nose and injured her face from a golf cart accident. Dr. Gross performed reconstructive and cosmetic rhinoplasty including septoplasty, turbinate cautery, dorsal hump removal, cartilage grafting and tip plasty to achieve these results. And external scar on the bridge of her nos... Read More
Trina underwent an initial nose job in Virginia but was unhappy with the results. She consulted at our Orlando-area 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... Read More
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
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 varies depending on your unique needs and goals. The overall cost is impacted by factors such as the type of procedure Dr. Gross performs, the extent of the revision needed, the 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.
Learn more about what affects revision rhinoplasty price in our related blog post.
How Do Patients Afford Revision Rhinoplasty?
Many of our revision rhinoplasty patients choose to finance their procedure with flexible payment plans. With a $2,000 down payment, you can get payments as low as $293/month with 60-month financing. Contact CareCredit® to get exact offer details and options.
Most revision rhinoplasty procedures are cosmetic, so insurance companies typically do not cover them. If you are seeking a functional revision rhinoplasty, check with your insurance provider about coverage and the process for seeking reimbursement for your surgical costs. Please note that Primera Plastic Surgery does not work with insurance companies. Read our post about post about insurance coverage for rhinoplasty to learn more.
Revision Rhinoplasty Videos
Proven Techniques, Outstanding Results
Revision rhinoplasty can fix both functional (related to breathing) and aesthetic (related to appearance) problems that occurred during a previous surgery, such as:
Under-resection (insufficient tissue removed)
Over-resection (excessive tissue removed)
Complications such as scarring, deviations, bumps, curvatures, collapse, and asymmetry
Breathing problems
Also, abnormal scarring is sometimes 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 that for revisions or repairs, it is best to consult with a dedicated rhinoplasty specialist, such as Dr. Gross.
The best candidates for this procedure must have a BMI below 30. You can learn more about the signs you need revision rhinoplasty in our related blog post. 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 discussing 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. He carefully selects the rhinoplasty technique that will deliver the most natural-looking and satisfying result for each patient.
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.
What is the average rate of revision for rhinoplasty?
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. For a detailed timeline and recovery tips, read our revision rhinoplasty recovery guide.
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 long should you wait for a revision rhinoplasty? It takes at least a year for swelling to completely dissipate and final rhinoplasty results to be achieved. 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.