Revision Rhinoplasty

By jjjj9999 on 02 Dec 2012

I had my first rhinoplasty approximately 20 months ago. I'm very unsatisfied with my results. What is recommended for a revision? I only want to do this one more time and I want the correct surgeon. Are there any red flags I should look out for when looking for a surgeon?

I am unsatisfied with my tip (I attached a photo of it because I can't find the words to describe it) and it appears that my nose is asymmetrical (the left nostril looks bigger than the right one). I also have a raised bump on the right side of my nostril. I saw one surgeon and he said I would need to have cartilage put into my left nostril, he stated that I won't have a perfectly symmetrical nose (which is okay with my own realistic expectations). He also said that he believes the surgeon who did my primary rhinoplasty used a graft (which I was never informed about). I had a bump on my nose and the tip drooped before I had my primary rhinoplasty.

I was really impressed by his honesty and his secretary said that I should gather other professional opinions before I undergo the procedure. I'm starting to feel like I'm not a candidate for a revision. Is my nose fixable?

Comments (2)

Robert Kotler, MD 5 Dec 2012

Hi, JJJJ. Dr. Kotler, from DR 90210 here. We have operated on two patients with identical situations, recently. Most likely a cartilage graft is sitting within the columella ( " lttle column" that separates the two nostrils). There is more cartilage there than needed and the only remedy is to remove some. Not a major undertaking. Can even be done via the " closed rhinoplasty" approach. If one nostril's upper edge is too high, it can be lowered, possible using non-surgical techniques that yield a permanent result. Check that out, too. You can be helped so do not despair. You might want to read mty book, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON. It can help you understand the process of having revision surgery. Best wishes. Robert Kotler, MD, FACS Beverly Hills, CA

View answers from Robert Kotler, MD

Angiemcc (Community Manager) 3 Dec 2012

Thanks for posting on RealSelf! From this angle your nose looks very nice, though I do see what you're saying about your columnella. It looks almost pointy.

Here's what some doctors say about choosing a great revision rhinoplasty surgeon.

Look for someone who specializes in revisions if you can.

Good luck and please keep us posted!