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Richard Rival, MD

Toronto Facial Plastic Surgeon

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Recent answer posted by Richard Rival, MD

Q: What to do about deformities after Rhinoplasty?

A:

Rhinoplasty is never an easy surgery and the results depend allot on what your nose looked like before the surgery and also how you heal after wards. Having said that from the one frontal view you have provided it appears that you have some persistent deviation of the nose and a bulbous tip. I suspect the bulbous tip may be related to the position of the cartilages that make up your nasal tip. Many people have tip cartilages that are oriented upwards parallel to the middle of the face. We call this cephalically oriented cartilages. 

The tip bulbosity is usually corrected in these cases by lowering the position of these cartilages. This will also help support the rim of the nostril where it appears you have some retraction ( more on the right than the left). The bottom line is that it looks like your nose can be improved with revision rhinoplasty. The first step is to return to your surgeon and see what he/ she thinks. Revision surgery should wait at least a year for healing to occur.

EducationUniversity of Toronto Medical School
Post-medical school training Residency University of California Los Angelas and University of Toronto
Aesthetic medicine experience 14 years (post-medical training)
Professional membershipsAmerican Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)
Hospital affiliations St Michaels Hospital and Southlake Regional Health Center
Medical or professional licenseON
Requesting an appointment with Richard Rival, MD using RealSelf.com is free & confidential. Consultation fee: $100
LocationRival Rhinoplasty and Facial Surgery Center
1881 Yonge St
501
Toronto, ON CanadaView map
Additional Office LocationsAdditional Locations:

581 Davis Dr, Newmarket, Ontario
30 Bond St, Toronto, Ontario

Articles by Richard Rival, MD

Last modified 5 months ago