Procedure: Endonasal Revision Rhinoplasty with Combined Auricular Graft Technique
Goal: Restore nasal function, correct excessive tip rotation from prior open surgeries, and achieve a natural, stable nasal profile.

This patient had undergone two previous open approach rhinoplasties in another clinic that left her with an over-rotated nasal tip, creating an artificial appearance that caused significant emotional distress while also impairing her breathing.

An endonasal revision rhinoplasty (scarless or closed) was performed using Dr. Escobar’s Combined Auricular Graft Technique, first described in the Aesthetic Surgery Journal (ASJ). This method reinforced the weak nasal tip, improved projection and definition, and corrected the abnormal rotation — all while preserving a scarless outcome.

The results, shown two years after surgery, highlight the long-term stability and natural refinement achieved with this endonasal revision rhinoplasty.

  • Correction of excessive tip rotation, restoring a natural nasal angle.
  • Improved tip support, shape, and definition for enhanced harmony.
  • Restored nasal airway function with improved breathing.
  • Stable and natural results maintained two years postoperatively.

💡 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 (151)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (153)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (149)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (148)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (150)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (152)
  • Before After Scarless Rhinoplasty Dr Escobar Madrid Bogota Dubai (147)
Closed Revision Rhinoplasty Madrid Escobar MD (3)
Closed Revision Rhinoplasty Madrid Escobar MD (3)

Lina Maria

Closed Revision Rhinoplasty

Dr. Escobar transformed not only my nose, but also my confidence and quality of life. After two failed surgeries that left me with a deformed nose and no self-esteem, I was afraid of trying again. When I met Dr. Escobar, his honesty, kindness, and precision gave me total peace of mind. He explained every detail of the process and made me feel secure in my decision. The results were beyond my expectations—so natural that no one could tell I had undergone multiple surgeries before. I would recommend Dr. Escobar without hesitation to anyone considering rhinoplasty. Thanks to him, I regained not just a nose I am proud of, but also the self-confidence I had lost for years.

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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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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