Dr. Motykie’s patients often seek revision surgery to address:

• Breathing issues or functional obstructions
• Residual asymmetries or structural irregularities
• Collapsed or pinched nasal tips
• Unnatural or overdone results from prior surgery
• Misshapen or distorted nasal bridges
• Overall dissatisfaction with the previous outcome

Some doctors promote non-surgical nose reshaping with fillers because they lack the training or experience to perform surgical rhinoplasty. While fillers can temporarily conceal minor contour irregularities, they cannot reduce the size of the nose or correct structural deformities.

For patients planning a revision surgery in the future, fillers may offer a short-term cosmetic fix—but they’re not a true alternative to surgical correction. And over time, the cost of repeated treatments can add up without ever addressing the root of the problem.

Revision rhinoplasty should ideally be the final procedure needed to correct lingering aesthetic or functional issues from a previous nose surgery. Dr. Motykie typically recommends revision surgery for patients experiencing any of the following:

• Pollybeak deformity (excess fullness in the nasal bridge)
• Irregularities or deformities in nasal tip shape
• A nose tip that appears pinched, drooping, or overly upturned
• Residual dorsal hump or uneven bridge
• A nose that appears crooked or asymmetrical
• Hanging or overly retracted columella (the strip of tissue between the nostrils)
• Flared, uneven, or asymmetric nostrils
• A nose that appears too wide or broad
• Chronic nasal discharge or a persistently runny nose
• Ongoing difficulty breathing through the nose

Revision rhinoplasty is a highly specialized procedure best suited for patients who are emotionally ready, have realistic expectations, and are committed to achieving a final, refined result. Dr. Motykie takes the time to listen, evaluate, and develop a personalized plan tailored to each patient’s unique concerns and goals.

Dr. Motykie prefers the closed, scarless approach in most revision cases. All incisions are hidden inside the nose, resulting in no external scarring and faster healing. The skin is partially separated from the underlying structure to reshape bone and cartilage, then gently re-draped without fully lifting the skin—preserving more of the natural nasal architecture and reducing swelling, bruising, and long-term complications.

Revision rhinoplasty can require creative solutions due to missing or damaged cartilage from prior surgery. When grafting is needed, Dr. Motykie typically uses ear cartilage—it’s naturally curved and well-suited for reshaping the nasal tip. In some cases, existing cartilage can be reshaped without the need for grafts, minimizing risk and reducing recovery time.

The cost of revision rhinoplasty in Beverly Hills can vary depending on several factors, including the complexity of the procedure, the surgeon’s expertise, facility and anesthesia fees, prescription medications, and any necessary preoperative testing. During your consultation, you’ll receive a detailed breakdown of costs along with information about available financing options—so you can make the most informed decision for yourself.

Dr. Gary Motykie is a Board-Certified Plastic Surgeon who is highly skilled in breast surgery, body contouring, rhinoplasty, facial rejuvenation, and numerous other cosmetic surgical procedures. With about 50% of his practice consisting of revising surgeries from elsewhere, Dr. Motykie believes in performing safe, effective plastic surgery that focuses on “doing it right the first time.”

Dr. Motykie studied Medicine at Northwestern University and Plastic Surgery at the University of Texas, where he performed surgery at one of the world’s top cancer and burn reconstruction facilities. He subsequently completed an Advanced Cosmetic Surgery Fellowship in Beverly Hills, California, in 2004. Since then, he has spent the past ten years dedicated to designing an integrative approach to health, wellness, nutrition, and surgery to evolve his practice beyond the current standards.

Dr. Motykie has been featured in articles in the New York Times, LA Times, and Wall Street Journal and has appeared as a regular surgeon on the E! Channel’s Dr. 90201, Celebrity Plastic Surgery, The Doctors, Marie Show, Dr. Phil, MTV, VH1, EXTRA, ACCESS Hollywood, Inside Edition, and the Discovery Channel’s Plastic Surgery: Before & After. Dr. Motykie continues to present his work around the world, appearing on numerous televised programs to discuss a wide variety of plastic surgical topics.

Dr. Motykie strongly believes that the best plastic surgery results are beautiful, natural, and undetectable. He cares about educating and empowering his patients to make truly informed decisions about having safe, smart, and effective plastic surgery.

Dr. Motykie is certified and licensed by the American Board of Plastic Surgery (ABPS), the American Society of Plastic Surgeons (FASPS), the American College of Surgeons (FACS), the Los Angeles Society of Plastic Surgeons (LASPS), the International College of Surgeons, United States Section (FICS), the American Society of Maxillofacial Surgeons (ASMS), and the International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS).