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.
Double board-certified facial plastic surgeon Dr. Edward Gross performs approximately 30 to 40 revision rhinoplasty procedures each year and has more than 30 years of experience treating complex nasal concerns after previous surgery. His advanced training includes an AAFPRS-sponsored fellowship at the Perkins Facial Plastic Surgery Center, with an emphasis on rhinoplasty and reconstructive rhinoplasty. Dr. Gross focuses on structurally rebuilding and supporting the nose with cartilage grafting to address aesthetic concerns and breathing problems.
Dr. Edward Gross provides individualized treatment to create balanced, natural-looking results for his revision rhinoplasty patients from the Orlando metro area and beyond, including:
Request a consultation today or call our office at (407) 333-3040.
“Many of my rhinoplasty patients come from throughout Florida seeking a skilled surgeon for revision procedures. Because revision rhinoplasty is complex, I focus on meticulous planning and technique to help each patient reach their goals.”
Dr. Edward Gross
Keep in mind that each patient is unique and your results may vary.
Patients sometimes describe an unsatisfactory result from a previous rhinoplasty as a “botched nose job.” Correcting that result can be more complex than an initial rhinoplasty because the surgeon may need to work around scar tissue, altered anatomy, or weakened structural support.
Dr. Gross performs approximately 30 to 40 revision rhinoplasty procedures each year and has more than 30 years of experience with the grafting techniques these cases may require. Depending on a patient’s anatomy and concerns, he may use septal or ear cartilage, columellar strut grafts, alar batten grafts, or spreader grafts to rebuild support while addressing appearance and breathing.
His AAFPRS-sponsored fellowship at the Perkins Facial Plastic Surgery Center emphasized rhinoplasty and reconstructive rhinoplasty—training directly relevant when a previous procedure has altered the nose’s structure. If you’re considering revision rhinoplasty, request a consultation today or call our office at (407) 333-3040.
“The doctors that refer patients to me do it because they know their patients will receive a very high level of professional care and excellent outcomes from a well-respected surgeon in the community—one with the most clinical experience in facial, plastic, and reconstructive surgery. It’s a momentum built over 30 years of cases and outcomes.”
Dr. Gross
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 of these 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.
This procedure 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 using a product called Nose Perfect® if you’re experiencing swelling at the tip of your nose or have thick nasal skin.
With more than 30 years of experience in facial plastic surgery, Dr. Gross has earned the confidence of patients and referring physicians through his commitment to personalized care and natural-looking results. His extensive experience, advanced training, and individualized approach help patients feel informed and supported throughout their treatment.
Meet Dr. GrossRequest My Consultation
In this procedure, the key to preventing complications is the diagnosis of potential anatomical and functional abnormalities before the procedure. 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. 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. When septal cartilage is not available, he will use ear cartilage grafts to rebuild areas of the nose for improved appearance and function. 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.
“For revision rhinoplasty, I do a lot of high-level complex grafting to rebuild the nose structurally, so the function is proper and the nose is straight. If you haven’t had the chance to do that as a surgeon, or you’re not experienced with it, the difference is like flying a jet airplane versus a Cessna.”
Dr. Gross
Dr. Gross personally performs computer imaging during consultations and has used this technology for more than 30 years. He also displays the simulated result on a dedicated monitor in the operating room, using it as a reference throughout surgery.
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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.
Reviewed for clinical accuracy by Dr. Edward J. Gross on September 23rd, 2026.
