Before & After Results: Scarless Revision Rhinoplasty in Thin-Skinned Patients
Procedure: scarless revision rhinoplasty in women after a previous open surgery, correction of tip and dorsum deformities, and removal of a visible graft.
Goal: Restore nasal structure and function, protect thin skin integrity, and achieve a natural feminine appearance after an unsuccessful prior rhinoplasty.
This patient had undergone a previous rhinoplasty through an open approach that left her with a weakened tip and dorsum structure. As a consequence, the nasal tip shifted to the left, creating a noticeable asymmetry in the nostrils and an unbalanced overall appearance. To improve tip definition, a graft had been placed, but due to the patient’s thin skin, it became overly visible, leading to poor healing and aesthetic dissatisfaction.
Dr. Escobar performed a scarless revision rhinoplasty using his Modular Technique, an evolution of the published Combined Auricular Graft method. This case of scarless revision rhinoplasty, involved removing the previous graft, which provided no real support and distorted the tip. A new structural framework was built using auricular cartilage combined with the patient’s own fibro-fatty tissue, which was strategically placed to protect the delicate tip skin and improve postoperative healing.
This scarless revision rhinoplasty not only restored balance and corrected asymmetry but also enhanced breathing function by reinforcing the nasal framework. The final results, observed one year postoperatively, showed improved tip stability, refined contours, and a harmonious feminine nasal appearance.
Scarless Revision Rhinoplasty| Deviated nasal tip| Thin Skin| Results Include:
- Removal of the visible and problematic tip graft.
- Reconstruction of tip and dorsum support to restore symmetry.
- Protection of thin nasal skin with fibro-fatty coverage for better healing.
- Significant improvement in nasal breathing.
- Natural and refined feminine appearance with corrected nostril asymmetry.
💡 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.
Thin Skin Revision Rhinoplasty Madrid Escobar MD (1) 
Thin Skin Revision Rhinoplasty Madrid Escobar MD (2) 
Thin Skin Revision Rhinoplasty Madrid Escobar MD (3) 
Thin Skin Revision Rhinoplasty Madrid Escobar MD (4) 
Thin Skin Revision Rhinoplasty Madrid Escobar MD (5) 
Thin Skin Revision Rhinoplasty Madrid Escobar MD (6)
Watch Laura’s Testimonial in Multiple Languages (English, Arabic & Spanish)
Laura
Revision Rhinoplasty
About <strong>four years ago</strong>, I decided to have a rhinoplasty. However, <strong>two years later</strong>, I started to notice that my <strong>nasal tip looked very marked</strong>, I was having <strong>breathing problems</strong>, and I wasn’t happy <strong>aesthetically</strong> either.<br>That’s when I began considering a <strong>second surgery</strong>. I spoke with <strong>Dr. Escobar</strong>, and he gave me a lot of <strong>confidence</strong> to move forward with the procedure.<br>Today, I can honestly say that everything has improved <strong>100%</strong>, both <strong>externally and internally</strong>. I feel <strong>confident</strong> again. For example, at university, it used to affect me a lot during presentations and when photos were taken. I think I let my nose affect me too much—and now it’s completely the opposite.
ESP | Watch Original Version in Spanish with Subtitles in ESP
Read Transcription in English
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my name is Laura
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I am a business administration student
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approximately 4 years
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I decided to have rhinoplasty
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more or less
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two years after having had my rhinoplasty
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I noted
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that my tip was very marked, I had some
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problems with my breathing and also aesthetically
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so I decided to look into having
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a second operation
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At the moment
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I talked to the doctor
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He gave me a lot of confidence
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to perform this second surgery
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Nowadays, both externally
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and internally
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have improved 100%.
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I already feel confident
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I’ve also had photos taken.
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For example, at university,
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it really affected me during presentations
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I think I let my nose affect me too much
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and now it’s completely the opposite.
EN | Watch Dubbed Version in English
AR | Watch Dubbed Version in Arabic
