Revision Rhinoplasty

Steven Mobley, MD, a double board-certified Facial Plastic Surgeon, has served Salt Lake City, Utah, since 2002.

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COSMETIC SURGERY

Revision Rhinoplasty Surgery in Utah

Trust a double board-certified Facial Plastic Surgeon with more than 2,000 nasal surgeries, including complex revision rhinoplasty, in Salt Lake City, Utah.

START THE JOURNEY TO THE NOSE YOU WERE HOPING FOR.

We understand. You went into your first nose job with high hopes, and now you're looking for the surgeon who can finally give you the nose you imagined. Maybe the tip looks pinched, the bridge looks uneven, or breathing hasn't felt right since. You deserve a nose that finally fits your face and lets you breathe freely, and in the right hands, a carefully planned revision can very often deliver it. For over 24 years, patients from across Utah and the nation have trusted Steven Mobley, MD, a double board-certified Facial Plastic Surgeon in Salt Lake City, with their revision rhinoplasty, or nose job revision.

revision rhinoplasty surgery - Before and After - Saddle Nose

Before

revision rhinoplasty surgery - Before and After - Saddle Nose

After

revision rhinoplasty surgery - Before and After - Crooked Tip

Before

revision rhinoplasty surgery - Before and After - Crooked Tip

After

How do I choose the best revision rhinoplasty surgeon in Salt Lake City?

A revision deserves even more care than a first rhinoplasty, so ask these three key questions: 1) Technique, 2) Experience, 3) Leadership in the field.

1. Technique: Can your surgeon rebuild and strengthen what your nose needs?

Revision rhinoplasty, or nose job revision, is often less about removing and more about rebuilding. Many revision noses need a straighter, stronger septum (the wall inside the nose), new support for the tip and bridge, or more open nostrils. Steven Mobley, MD, rebuilds that support with techniques he developed himself and has taught to other surgeons for over two decades, including extracorporeal septoplasty, his patented septum splint (U.S. Patent No. 9,022,963) and custom-made nostril splints.

A successful revision often starts deep inside, with the nose's most important support: the septum. Rebuilding the septum outside the nose, called extracorporeal septoplasty, is one of Dr. Mobley's signature skills. He removes a badly bent or weakened septum, straightens and reinforces it, then returns it as a strong, straight foundation for everything else. Surgeons at the Universities of Marburg and Regensburg invited him to Germany to teach it in person. It is a cornerstone of his complex revision and crooked-nose surgeries.

2. Experience: How much complex nasal surgery has your surgeon performed?

Dr. Mobley, like most experienced revision rhinoplasty surgeons, considers a revision rhinoplasty to be three to ten times more complex than a first rhinoplasty. The tissues have already healed once and cartilage may be missing, so every step takes more time, more judgment and a more experienced hand.

Steven Mobley, MD, is one of the nation's most experienced nasal surgeons, with more than 2,000 nasal surgeries over his career, including complex revision and crooked-nose cases, and 75–100 rhinoplasties a year. He is double board-certified in Facial Plastic and Reconstructive Surgery and in ear, nose, and throat-head and neck surgery, so every revision he plans is designed to improve both how your nose looks and how it breathes. Readers of The Park Record voted him Park City's Best for 10 years, and he has been recognized as a Castle Connolly Top Doctor.

3. Leadership in the field: Has your surgeon helped shape the revision techniques other surgeons use?

Steven Mobley, MD, trained under Dr. Dean Toriumi in Chicago, internationally known for complex revision rhinoplasty, and Dr. Richard E. Davis in Miami. He later co-authored a textbook chapter on the nasal airway with Dr. Toriumi.

Among Dr. Mobley's more than 50 published works are two studies on extracorporeal septoplasty: a three-year study of breathing results in Plastic and Reconstructive Surgery, whose cover featured his artwork, and a study of complications and new techniques in Archives of Facial Plastic Surgery. He has also presented it by invitation to the Egyptian Otolaryngologic Society, lectured on it in Mexico, and taught it at national meetings, including Advances in Rhinoplasty in Chicago in 2017.

Dr. Mobley was the senior author of a published study describing his unique, step-by-step approach to repairing narrowed nostrils in Archives of Facial Plastic Surgery and has taught his custom nostril splint techniques for narrowed and retracted nostrils at national meetings, including the 2025 annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery. He has given more than 85 lectures to fellow surgeons at national and international meetings, including more than 31 on rhinoplasty and revision rhinoplasty, from rebuilding the nasal bridge in revision rhinoplasty to repairing holes in the septum. He described his patented septum splint, used in advanced and complex nasal surgeries, in JAMA Facial Plastic Surgery.

Dr. Mobley devoted 11 years to the University of Utah School of Medicine as a full-time faculty member, earning tenure as Associate Professor of Surgery and serving as Head of Facial Plastic and Reconstructive Surgery and Residency Program Director. He has been invited to lecture at seven academic medical centers in the United States and Germany, including Northwestern University and the University of Miami.

Technique, experience, and leadership in the field. When you choose Steven Mobley, MD, for your revision rhinoplasty in Salt Lake City, you choose a surgeon who published the research, holds the patent, and teaches other surgeons the techniques that rebuild a nose the second time around.

RELATED PROCEDURES

Other related procedures may include the following:

SHOULD I CONSIDER REVISION RHINOPLASTY?

Patients may choose revision rhinoplasty, or nose job revision, because they are unhappy with the look of an earlier nose job, because breathing has become harder, or because they want a different result.

COMMON REASONS FOR REVISION RHINOPLASTY:

  • Breathing that is harder than before
  • A bridge that has collapsed, looks scooped or looks uneven
  • A pinched or uneven tip
  • A nose that still looks crooked
  • Narrowed, collapsed or retracted (pulled-up) nostrils
  • A shape that doesn't fit your face

DR. MOBLEY WILL BUILD A CURATED PLAN FOR YOUR SURGERY

At your consultation, Dr. Mobley reviews your earlier surgery, examines the inside and outside of your nose, and uses computer morphing to show you what your revision could achieve. Then he builds a plan to restore both form and function.

HOW DO I GET STARTED?

Every journey has a story, and we want to hear yours, including the chapter that brought you here. From the moment you step into our office, our priority is understanding what you hoped for and what you want now. Call Mobley MD Facial Plastic Surgery in Salt Lake City at (801) 449-9990 or contact us today to book your revision rhinoplasty consultation with Steven Mobley, MD.

REVISION RHINOPLASTY IN UTAH

Frequently Asked Questions

WHAT DOES REVISION RHINOPLASTY SURGERY INVOLVE?

One key concept that it is important revision rhinoplasty patients understand is that a revision rhinoplasty is several-times more complex than the original nose job. Once your nose has had any surgery performed on it, the nose will have varying amounts of scar tissue throughout the nose. This scar tissue may be minimal or quite extensive. Also, based on how the original nose job was performed, your nose may have had much of its natural tissues (alar/ tip cartilages, septum, bridge for example) removed. As you can understand, a surgery to improve the cosmetic appearance after an unsatisfactory nose job is complex, but the need to often rebuild and replace tissues that were removed in the original nose job adds even further to the surgical complexity.

Dr. Mobley brings over 25 years of nasal surgery experience to every nose job he performs. He borrows the best techniques from all of the current rhinoplasty “styles”; mixing endonasal techniques, modern “open structure” rhinoplasty, as well as some of latest techniques and powered instrumentation for preservation rhinoplasty. To provide some scale, the routine surgical maneuver of opening the nasal skin can take about 5 minutes in a primary rhinoplasty but can sometimes take up to 30-45 minutes in a revision due to the scar tissue now present in your nose. Revision rhinoplasties are inherently more complex, more time consuming, and require the multi-decades experience Dr. Mobley bring to every nasal surgery he performs.

HOW MUCH DOES REVISION RHINOPLASTY NORMALLY COST?

Understanding the cost of revision rhinoplasty at Mobley MD begins with recognizing that revision rhinoplasty is considerably more complex than a primary rhinoplasty. Each surgical step is more intricate and time-consuming due to scarring and altered anatomy from previous procedures. This increased complexity typically leads to a higher overall cost.

At Mobley MD, our commitment to quality, safety, and transparent pricing guides our approach. Your revision rhinoplasty fee consists of three main components: the surgeon’s fee, operating room (OR) fee, and anesthesia fee.

When combined, these fees typically start around $17,000 & up, reflecting the complexity and duration required for successful revision rhinoplasty. Dr. Mobley performs 75–100 rhinoplasties each year, including many revision rhinoplasties, and has performed more than 2,000 nasal surgeries over his career. He has been recognized as a Castle Connolly Top Doctor.

Following your consultation, you will receive a detailed and personalized quote. Keep in mind, that facility and anesthesia fees are time-dependent and may vary based on the actual duration of your procedure. While lower-cost alternatives may exist, choosing Mobley MD ensures that you're selecting one of the top rhinoplasty surgeons in the nation, providing peace of mind and exceptional results.

WHAT FINANCING OPTIONS ARE AVAILABLE?

Dr. Mobley wants to make cosmetic surgery available to as many people as possible. For that reason we have partnered with PatientFi, with CareCredit also available, to provide lending services. When you come in for your consultation we will be more than happy to go over all your financial options with you.

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HOW LONG IS THE RECOVERY PERIOD?

Most patients will feel somewhat drained for the first 3 days. Patients can return to work after 3 days if they wish but most patients feel more comfortable after one week when their cast is removed. About 20% of patients will get more noticeable bruising and when this does occur, bruising can take 10-14 days to fade. Stitches and the outside nasal cast are removed after one week and if internal nasal splints were needed (more common in complex cases or revisions) they are removed by Dr. Mobley after two weeks. Your nasal swelling will continue to subside over the next several months.

WHAT SHOULD I EXPECT THE DAY OF THE SURGERY?
Like all cosmetic surgery, rhinoplasty is real surgery and, as such, we place a very strong emphasis on your medical safety.
 
Your surgery will be performed at a nationally certified surgical facility.  You will be put to sleep and monitored by some of the best anesthesia professionals in the state of Utah.  Learn more about Millcreek Surgical Suite at www.millcreeksurgery.com.  If Dr. Mobely is performing nasal surgery covered by insurance your surgery will often be performed at Utah Surgical Center.
HOW PAINFUL IS REVISION RHINOPLASTY?

In my experience, many of my patients are pleasantly surprised by the minimal amount of discomfort they have in the postoperative period. In my practice, we very rarely use packing – one of the most uncomfortable facets of facial plastic surgery; my patients greatly appreciate this. Medicine for pain is always provided. Most patients take this for 3-7 days following surgery.

WHEN CAN I RETURN TO SCHOOL OR WORK?

If you do light (office) work, particularly if you work from home, you could return to these activities four to five days after the operation. If you do more physical work, seven to ten days is more appropriate.

HOW WILL MY NEW NOSE LOOK?

During your consultation, I will use computer morphing software to give you an idea of how your nose will look after the operation. I will also show you before and after photos of patients that have undergone similar types of cosmetic changes to help give you realistic expectations of what can be achieved from surgery.

WHAT TECHNIQUES DOES DR. MOBLEY USE?

When choosing a surgeon to perform your revision rhinoplasty, it is crucial to choose a surgeon well versed in all of the modern “styles” of rhinoplasty. Dr. Mobley’s 25-plus years of experience encompasses rhinoplasty techniques from all of the modern styles. This ranges from traditional endonasal rhinoplasty (working through the nostrils) to open structure approach (where the skin is partially lifted open). “Open structure” revolutionized rhinoplasty and is the under-pinning of many other techniques that reduce the likelihood of complications following a nose job. Dr. Mobley also embraces many of the techniques, and advanced instrumentation, for preservation rhinoplasty. With all revision surgeries, regardless of what techniques and styles are combined and utilized- the goal is simple- to create the most natural looking nose that fits your face and is in artistic balance with your other facial features and proportions. Also, and this is paramount- a constant emphasis on the preservation (and often restoration in cases of revisions) of anatomy- alar cartilages, septum and dorsum combines to create the most favorable results for a nose that looks natural and maintains, (and often improves) nasal function and airflow.

WHAT ARE THE MOST COMMON RISKS OF REVISION RHINOPLASTY?

Every type of surgery has risks. It’s my ethical responsibility to educate you on these risks so you can make the best possible decision for yourself while weighing these risks against the benefits of surgery. My training helps me to minimize these risks to the best of my ability, but I cannot eliminate them entirely. Common risks include stiffness in nasal tip, irregularities of bone or cartilage, damage to the nasal skin, and damage to the internal linings of the nose.

The risks above are the most common ones that I think you should be aware of, but they are not a complete list of all possible risks. When I see you during your consultation and we begin to formulate your surgical treatment plan, I’ll review with you not only these common risks but also the less likely complications that may occur.

WHAT OUR PATIENTS ARE SAYING

MORE REVIEWS & TESTIMONIALS:

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AN OFFICE INSPIRED BY INNOVATION

Experience our state of the art facility in the heart of Utah's Medical Corridor!

Mobley MD Facial Plastic Surgery office was built from the ground up and designed specifically for the patient experience. Our patients have exclusive access to Millcreek Surgical Suite, a AAASF nationally certified center that provides an unparalleled experience for discerning cosmetic patients. Located steps away from Utah’s renowned St. Marks Hospital, our office houses our state of the art surgical facility and our boutique medical spa, BeautyNow.

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