Beverly Hills Revision Rhinoplasty doctors

Hi clausina99;

I like what you showed on the images.  You are a very attractive lady, but you have:

•    Too high a bridge
•    A bump
•    Certainly the "after" is a considerable improvement

I agree with you that the hump should be removed.  There need not be any tip rotation.  If your tip has collapsed a little bit, that will have to be looked at as to the exact cause.  Frankly, it is always a little dangerous to tell the public if a nose should be done.  What your friends think is not important.  It is what you think.  After all, you are the owner.  It is your nose.  Changing your nose is not going to change their life, but it will probably change your life.  At least that is what I hear from patients.  They are happy that they did their nose.  By the way, I too was a patient.  I had my nose done, and it was one of the best things I have ever done. 

I would encourage you to at least have consultation with an experienced nasal cosmetic surgeon to find out what can or cannot be done.  After that, the decision is yours.

Robert Kotler, MD, FACS
Facial Plastic Surgeon
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Author, THE ESSENTIAL COSMETIC SURGERY COMPANION

Hi JLW;

You mention that one side of your nose is different from the other.  Often, it is true that such asymmetries are more obvious when the nose is viewed from an angle.  Now, it is possible that you might be satisfied with a nonsurgical process, whereby, a filler is injected under the skin of the nose to plump up the areas that are a bit overdone.  Overdone, meaning there is too little.  If your main problem, though, is that one side is too large, and that filling the other side to match it would create too prominent a region or part, then, unfortunately, you are probably going to have to have a surgical revision rhinoplasty. 

I would recommend that you pursue discussions with experienced cosmetic nasal surgeons because, obviously, years have gone by, and you are not satisfied with the appearance of your nose.  You need not be plagued with that all your life.
Typically, revision rhinoplasty surgeries do not take as long to perform as the original, and the convalescence is simpler and shorter. 

I would encourage you to see a cosmetic surgeon who can offer you computer imaging, so that you may see the predicted result of your procedure, and have a good discussion with the prospective outcome on a computer screen in front of you and your surgeon.

Robert Kotler, MD, FACS
Facial Plastic Surgeon
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Author, THE ESSENTIAL COSMETIC SURGERY COMPANION

Hi Mhappy;

With respect to, what I assume is, your desire to have the nostril walls narrowed by suture cinch may or may not be reasonable.  Frankly, I think you need some good evidence of how that works before you take it on.  It may be good, but each patient is different because the skin may be different, the muscle strength may be different, and be sure to discuss this in great detail.  If it works for you, that would be terrific. 

You asked about risk.  Generally, the risk has to do with dissatisfaction.  Is it possible that, over a period of time, the nostrils will widen again spontaneously.  This is always an issue when suture cinching techniques are used, but you can learn a lot by having your consultation focus on that issue, seeing many examples of that technique, and speaking to patients who have had it.  I think that is always the smart thing to do - ask to speak to people who have had the procedure.  Ideally, see them, meet them, and see how it looks to you.  If they are happy, you will be happy. 

Robert Kotler, MD, FACS
Facial Plastic Surgeon
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Author, THE ESSENTIAL COSMETIC SURGERY COMPANION