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.

  • 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.

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REVISION RHINOPLASTY— Where Expertise Restores Confidence (10)
REVISION RHINOPLASTY— Where Expertise Restores Confidence (10)
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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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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 Paulo A Escobar Best Rhinoplasty Surgeon Dubai
Dr Paulo A Escobar Rhinoplasty Surgeon Abu Dhabi Dubai
credentials Dr Paulo A Escobar

Dr. Paulo A. Escobar is an ENT Consultant and Dual Board-Certified Facial Plastic Surgeon with over 20 years of international experience. He specializes in endonasal (scarless) rhinoplasty, including primary, revision, and functional procedures, delivering results that are both natural and long-lasting.

Every nose is unique—shaped by facial proportions, skin thickness, and cultural heritage. That’s why Dr. Escobar’s approach is centered on personalized planning and tailored techniques, ensuring harmony, safety, and authenticity in every case.

Recognized by patients in UAE and worldwide, Dr. Escobar combines advanced technology with refined surgical expertise to achieve results that enhance not only appearance but also confidence and well-being.

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