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.

  • 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.

  • Closed Revision Rhinoplasty Madrid Escobar MD (2)
  • Closed Revision Rhinoplasty Madrid Escobar MD (1)
  • Closed Revision Rhinoplasty Madrid Escobar MD (7)
  • Closed Revision Rhinoplasty Madrid Escobar MD (3)
  • Closed Revision Rhinoplasty Madrid Escobar MD (4)
  • Closed Revision Rhinoplasty Madrid Escobar MD (5)
  • Closed Revision Rhinoplasty Madrid Escobar MD (6)
Revision Rhinoplasty Madrid Escobar MD
Revision Rhinoplasty Madrid Escobar MD

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AR | Watch Dubbed Version in Arabic

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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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