For revision rhinoplasty, a Los Angeles board certified plastic surgeon Dr. Vladimir Grigoryants offers advanced procedures to improve the shape of the nose. Many patients who turn to Dr. Grigoryants for revision rhinoplasty complain of a persistent hump, pinched or wide nose, crooked nose, and droopy or overly rotated nosed following trauma or previous rhinoplasties. Revision rhinoplasty is one of Dr. Grigoryants’ specialties. Dr. Grigoryants performs revision surgery not only to improve the shape of the nose but also to improve breathing. He performs most rhinoplasty procedures using an endonasal (closed) technique. With this technique, Dr. Grigoryants places all incisions inside the nose. In some patients, however, open rhinoplasty would need to be performed to better reconstruct the nose.