Result of a secondary rhinoplasty
Case fact sheet
- Patient: 25 year old woman
- Point: Secondary rhinoplasty. She had previously undergone surgery on her nose and septum by another surgeon.
- Intervention: Revision rhinoplasty with ultrasonic (piezoelectric) bone instrumentation — March 2022
- Where did cartilage come from? Since there was no septum left, it was necessary to take a rib cartilage graft.
- Reconstruction: Spreader grafts and armadillo, correcting the hump and tip, with fibrin-rich plasma
- Objective of the result: a feminine and natural nose, without any indication that it had been operated on
- Surgeon: Dr. Gustavo Sordo
The difference between a primary and a secondary rhinoplasty usually lies in the material: in a primary rhinoplasty, the septum provides ample cartilage, while in a secondary rhinoplasty, if the septum has already been used or removed, cartilage must be harvested from the rib. This transforms a revision rhinoplasty into a much more complex surgery.
When the nose has already been operated on, here we explain secondary rhinoplasty with rib cartilage.










Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
If you're looking at this case for a specific reason.
Re-operating on a nose is not simply repeating the first surgery: it involves working on previously operated tissue, and often requires replacing cartilage for added support. This is called secondary rhinoplasty.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid