Procedure: Closed Revision Rhinoplasty using The Combined Auricular Graft
Goal: Correct nasal tip asymmetries and width from prior surgeries, restore structure and function, and achieve natural facial balance.

This patient came to consultation after three previous rhinoplasty somewhere else that had left her with a poor structure, creating an unsatisfactory result that deeply affected her confidence and also compromised her nasal function.

To address this, I performed a Closed revision rhinoplasty (no external scars). Using my published Combined Auricular Graft technique (Aesthetic Surgery Journal, Oxford University Press), structural support was rebuilt to improve the nasal tip configuration. The Closed Revision Rhinoplasty not only corrected the asymmetries but also improved breathing function and restored harmony to her nose.

The results shown are at 12 months postoperatively, demonstrating a stable, natural, balanced outcome.

  • Correction of lack of definition and projection on her nasal tip.
  • Improved nasal tip position
  • Restoration of nasal airflow for better breathing by improving nasal valve issues.

💡 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.

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

Maria Cristina

Revision Rhinoplasty

Eight years ago, I underwent several nasal surgeries, including septoplasty and two additional rhinoplasties, but they left me with serious breathing problems that greatly affected my quality of life. After receiving so many discouraging diagnoses, meeting Dr. Escobar gave me hope. He inspired complete confidence and focused not only on the aesthetics, but on restoring my quality of life. After surgery, I felt a completely positive change — I can finally breathe normally again. My follow-up exams clearly showed the significant improvement in my breathing. This surgery truly transformed my life.

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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 Paulo A Escobar| Revision Rhinoplasty Surgeon| Abu Dhabi | Dubai
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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

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