considered the most difficult operation in aesthetic
plastic surgery. When for whatever reason the result
is not satisfactory, patients seek a revision -
often referred to as a secondary rhinoplasty. Dr.
Gruber is referred many such patients from the San
Francisco Bay Area and other parts of the country.
He utilizes the latest techniques including his own
innovations that have been published and which he
lectures about to restore the noses of these
patients and make them happy about their appearance.