Primera Plastic Surgery
1035 Primera Boulevard
Lake Mary, FL 32746
Phone: (407) 333-3040
Fax: (407) 333-3496
Mon–Fri: 9 a.m.–5 p.m.
Sat: 9 a.m.–3 p.m. (Med Spa only)
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.
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.
Keep in mind that each patient is unique and your results may vary.
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.
Many of our revision rhinoplasty patients choose to finance their procedure with flexible payment plans. As an example, let’s assume your procedure will cost $7,000, and you will make a $1,000 down payment. With a $1,000 down payment, you can get payments as low as $250/month with 24-month 0% interest 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 insurance coverage for rhinoplasty to learn more.
Revision rhinoplasty can fix both functional (related to breathing) and aesthetic (related to appearance) problems that occurred during a previous surgery, such as:
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.
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
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.
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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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
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 StoriesDr. 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.
