Procedure: Closed Revision Rhinoplasty (Endonasal Approach with Combined Auricular Graft)
Goal: Restore nasal breathing, correct displaced nasal tip, and achieve a natural and balanced appearance after two failed prior surgeries.

This patient had undergone two previous rhinoplasties that unfortunately compromised both function and aesthetics. She experienced significant difficulty breathing due to structural changes and presented with an artificial-looking nasal tip caused by abnormal positioning, the result of inadequate planning and technical execution in earlier surgeries.

These issues not only affected her nasal function but also led to marked dissatisfaction with her appearance, impacting both her personal confidence and professional life.

Through a closed (endonasal) revision rhinoplasty, Dr. Paulo A. Escobar employed his combined auricular graft technique, repositioning the tip to restore natural harmony and improving airflow without leaving external scars.

The postoperative photographs, taken four years after surgery, demonstrate both the long-term stability and natural refinement of the result.

  • Restored nasal breathing and improved airflow.
  • Corrected nasal tip position, eliminating the artificial appearance.
  • Balanced nasal proportions with lasting structural stability.
  • Natural aesthetic outcome sustained over 4 years.

💡 Key Consideration in Revision Cases: In revision rhinoplasty, the primary goal is to achieve both aesthetic improvement and functional restoration. Since patients have already undergone previous procedures, the pursuit of absolute perfection is neither realistic nor advisable. Instead, each case is carefully evaluated to define what can be safely improved, with all limitations and expectations discussed transparently during the preoperative consultation.

  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (11)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (14)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (12)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (13)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (15)
Female Revision Rhinoplasty Madrid Escobar MD (2)
Female Revision Rhinoplasty Madrid Escobar MD (2)

Jalixpa

Closed Revision Rhinoplasty

Before having my surgery with Dr. Escobar, I had two botched nose jobs that left me unable to breathe and extremely self-conscious. After consulting surgeons worldwide, I finally found Dr. Escobar through his website. From the very first video consultation, I knew he was the right surgeon—professional, honest, and truly talented. Today, thanks to him, I not only have a fully functional nose but also the most natural result I could have imagined. Dr. Escobar and his team are beyond professional, and I would recommend him without hesitation

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As an International Fellow member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Dr. Escobar aligns his before-and-after galleries with the Academy’s ethical principles. This reference does not imply AAFPRS endorsement. All images show our own patients and are published only with written, informed consent. No retouching is used to alter anatomy or postoperative results; only limited technical adjustments (e.g., crop, exposure, white balance) may be applied without changing outcomes. We aim for comparable lighting, angles, and timing. Images are educational; individual results vary. Learn More

Dr Escobar Facial Plastic Surgeon
Dr Escobar Facial Plastic Surgeon
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Logos societies home

For women and men—whether primary or revision—my intent is to achieve natural, balanced results that blend seamlessly with the face while preserving—often improving—breathing. Guided by facial proportions (Golden Ratio), I design a tailored surgical plan for each patient. When appropriate, I favor the endonasal (closed) approach to refine with precision, reinforce structure, and avoid visible external scars, aiming for long-term stability and function. Every case receives my direct oversight; we set realistic goals together, so results enhance beauty, respect individuality, and build confidence.

Revision rhinoplasty. Secondary surgery is both technically complex and emotionally demanding. I carefully review your prior history, support you throughout the process, prioritize restoring function, correct asymmetries, and pursue a soft, natural look.

About these galleries. The cases shown (women and men; primary and revision) are published with explicit patient consent. They are educational, illustrating the kind of natural and functional outcomes that may be achievable in similar situations. Final results vary according to each patient’s anatomy, previous procedures, and individual healing.

Dr. Paulo A. Escobar, MD FACS

Dr Escobar Facial Plastic Surgeon
Dr Escobar Facial Plastic Surgeon
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Logos societies home

Para mujeres y hombres —ya sea una rinoplastia primaria o de revisión— mi objetivo es lograr resultados naturales y equilibrados, que se integren armoniosamente con el rostro y que preserven —y a menudo mejoren— la respiración. Guiado por las proporciones faciales (proporción áurea), diseño un plan quirúrgico personalizado para cada paciente. Cuando es apropiado, prefiero el abordaje endonasal (cerrado) para refinar con precisión, reforzar la estructura y evitar cicatrices externas visibles, buscando estabilidad y función a largo plazo. Cada caso recibe mi supervisión directa; establecemos juntos objetivos realistas, para que los resultados realcen la belleza, respeten la individualidad y refuercen la confianza.

Rinoplastia de revisión. La cirugía secundaria es técnicamente compleja y emocionalmente exigente. Reviso cuidadosamente tu historial, te acompaño durante todo el proceso, priorizo la restauración de la función, corrijo asimetrías y busco un resultado suave y natural.

Sobre estas galerías. Los casos mostrados (mujeres y hombres; primarios y de revisión) se publican con el consentimiento explícito de los pacientes. Tienen un propósito educativo y muestran el tipo de resultados naturales y funcionales que podrían ser alcanzables en situaciones similares. Los resultados finales varían según la anatomía de cada paciente, los procedimientos previos y la cicatrización individual.

Dr. Paulo A. Escobar, MD, FACS