Rhinoplasty Surgery | Miami, FL & New York, NY

Jeffrey Epstein, MD, FACS

Jeffrey Epstein, MD, FACS Anthony Bared, MD, FACS
Miami Office 305-666-5884
NYC Office 212-759-3484
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Procedures » Revision Rhinoplasty

Revision Rhinoplasty in Miami, FL

There is no plastic surgery procedure more complex than primary rhinoplasty (cosmetic surgery of the nose) with perhaps the exception of revision rhinoplasty. Improving the results of rhinoplasty surgery done previously has many challenges, due to a number of factors, most important being the unknown status of the supporting structures from prior maneuvers and the scarring that can result from the prior surgery.

Revision Rhinoplasty Miami

As a specialist in rhinoplasty, with over 20 years of experience in this field, Dr. Epstein performs a large number of revision cases, with approximately one-third of the three to four rhinoplasty surgeries he performs weekly done to repair work done previously. Using his background both in facial plastic surgery and Otolaryngology, Dr. Epstein is able to work not only on improving the appearance of the nose, but also to reinforce the structural support mechanisms to assure the best possible breathing passages and long lasting cosmetic results.

Dr. Epstein presents a male patient who underwent several weeks earlier a revision rhinoplasty surgery to restore a more natural appearance.

Nearly every revision procedure he performs is by the external or “open” approach. This provides unsurpassed visibility of the nasal structures, allowing for the most natural and aesthetic correction, while at the same time maintaining the supportive attachments of the nose, assuring stability. With the external approach, a single incision is made right along the bottom of the nose, which then heals as a fine line scar barely if at all detectable.

 Before and After Photos in Miami, FL, Revision Rhinoplasty in Miami, FL
 Before and After Photos in Miami, FL, Revision Rhinoplasty in Miami, FL
Before and after photos

*Each patient is unique and individual results may vary.

Some of the more common problems seen with prior rhinoplasty include: asymmetry, especially of the tip; crookedness; underprojected (too short) nasal tip; unnatural sharp edges or angles of the tip and other areas; wide inadequately narrowed bridge; nasal obstruction due to a deviated septum; areas of collapse; and many others. Through a combination of sculpting, suturing, rasping, and resetting of the bones and cartilage, it is possible to nicely improve the nose to look more natural and aesthetic. With his experience, Dr. Epstein is also able to use a variety of grafts, either of the patient’s own cartilage (from the septum or the ear) or a special fabric called GoreTex®. Many people are familiar with GoreTex® as something used to make ski clothing, but this fabric has an outstanding 20 plus year track record of being used in vascular, heart, hernia, and of course plastic surgery. In Dr. Epstein’s hands, GoreTex® can provide natural appearing and natural feeling results.

No matter whether it is a primary or revision rhinoplasty, Dr. Epstein’s approach is to create a nose that is in harmony with the rest of the face, and is attractive most importantly to the individual. In order to facilitate communication between surgeon and patient, Dr. Epstein utilizes computer imaging to provide a visual component to the dialogue, showing the patient what is both a realistic and aesthetic result of the surgery based upon the patient’s expressed goals. The patient will receive these imaging photos by email usually within two days of the consultation, and has the opportunity to provide feedback on what is liked and what changes are desired. This back-and-forth communication is invaluable in the planning of the procedure.

Rhinoplasty is an outpatient procedure usually performed in Dr. Epstein’s accredited office operating rooms under twilight sedation. Provided safely by his anesthetist of more than 15 years, twilight sedation assures that the patient neither feels nor remembers anything, yet breathes on his/her own. Dr. Epstein also has privileges at South Miami Hospital, located across the street from the office, where procedures are performed when requested or medically indicated.

Related procedures: Rhinoplasty, Hispanic Rhinoplasty, Non-surgical Rhinoplasty.

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Plastic Surgery Procedures

  • Rhinoplasty
  • Revision Rhinoplasty
  • African American Rhinoplasty
  • Hispanic Rhinoplasty
  • Non-surgical Rhinoplasty

Before & After

Before Revision Rhinoplasty photo in 6280 Sunset Drive, Suite 509, Miami, FL, 33143 After Revision Rhinoplasty photo in 6280 Sunset Drive, Suite 509, Miami, FL, 33143
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Before Revision Rhinoplasty photo in 6280 Sunset Drive, Suite 509, Miami, FL, 33143 After Revision Rhinoplasty photo in 6280 Sunset Drive, Suite 509, Miami, FL, 33143
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Reviews

  • Well, I’m very happy with the job Dr. Anthony Bared did. Before I had my surgery I was very insecure because I didn’t like my nose at all but I’m very happy with the job performed with Dr. Bared. As I mentioned before, he was very honest…

    • 5 stars
  • I am a very satisfied patient of Dr. Epstein. I underwent a primary rhinoplasty in the summer of 2013. I could not be happier with the results. I was wondering if there is a way I could see the before and after pictures that were taken by your…

    • 5 stars
  • Thankful, thankful, thankful for Dr. Epstein! His research and skill as a surgeon has enhanced many lives. I’ve been a patient of his for about two years. In 2015, I had an eyebrow transplant; this was the beginning of a beautiful story of…

    • 5 stars
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NEW YORK

635 Madison Avenue, Suite 1400
New York City, NY 10022
(347) 830-7649

MIAMI

Sunset Professional Building
6280 Sunset Drive, Suite 509
Miami, FL 33143
(305) 666-5884

Jeffrey S. Epstein, M.D., FACS

Jeffrey S. Epstein, M.D., FACS in  South Florida Founder and Director of the
Foundation for Plastic Surgery

4.7 stars - based on 258 reviews

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