Before & After Results: Closed Secondary Rhinoplasty with Bulbous Nasal Tip Correction
Procedure: Closed secondary rhinoplasty (endonasal) with total columellar strut using auricular cartilage, tip redefinition with new-domes technique, and dorsal contour regularization.
Goal: Restore nasal function and rebuild structural support of the septum, tip, and dorsum after prior over-resection, achieving a natural, balanced profile.
Summary:
After a previous rhinoplasty, the patient had septal cartilage over-resection and an irregular dorsal hump reduction. She developed progressive loss of tip support, which widened and de-defined the tip and caused functional issues.
Dr. Paulo A. Escobar, using a closed secondary rhinoplasty approach, a total columellar strut fashioned from the patient’s ear cartilage reinforced the medial crura. Tip shape and definition were refined with the new-domes technique, and the dorsum was smoothed to correct irregularities—all through aclose secondary rhinoplasty with no external scars.
Closed Secondary Rhinoplasty| Wide & Unprojected Nasal Tip| Results Include:
- Rebuilt tip support with improved projection and definition.
- Correction of dorsal irregularities and a smoother profile.
- Improved nasal airflow and function.
- More refined, narrower tip contour and natural, stable outcome consistent with the patient’s goals.
💡 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.
View Before & After Photos and Video
Watch Carolina’s Testimonial in Multiple Languages (English, Arabic & Spanish)

ESP | Watch Original Version in Spanish with Subtitles in EN & AR
Read Transcription in English
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I am Carolina I am 28 years old
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I am an architect, and I had a revision rhinoplasty
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4 years ago I had a functional septo-rhinoplasty because of functional issues.
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It did not go very well
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aesthetically it was not what filled my expectations.
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so after 4 years I decided to solve the problem.
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so I started looking for a surgeon expert in revisional rhinoplasty, that’s where I found Dr. Escobar.
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I searched on internet
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revision rhinoplasty expert
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and he showed up so I decided to request a consultation with him.
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when I came into consultation
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with Dr. Escobar, from the beginning I felt a lot of confidence.
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I felt a lot of peace of mind
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he helps and motivates you
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to choose him as the ideal professional to perform any procedure in my case
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a revisional rhinoplasty
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the patience, the consultation
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he spends impressive time about an hour and a half, explaining to one how you would say your procedure what you need
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to solve the problem that has
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these things give you confidence and
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those are the reasons why I decided to have surgery with Dr. Escobar
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it was something
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It was a drastic change
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people think that having plastic surgery is something that
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it’s simple and it’s unimportant, but in reality it’s not like that.
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it seems especially important for you as a woman to feel very important to feel
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comfortable and quiet
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and the fact of being
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after undergoing surgery
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was meant for me that comfort and as
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as a woman
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I will recommend to people that
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consult with several professionals before having any surgery.
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that when they arrive for consultation
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ask you all the questions until you feel confident enough until you feel confident enough to
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in order to carry out the procedure
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I would highlight Dr. Escobar’s professionalism.
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its Gift of people its human quality
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and therefore all his knowledge
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what I liked the most was that the surgery had
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extremely natural results and that
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and that’s what I liked the most.
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ha I feel super calm for sure more confident more
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It’s a game changer.
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