Revision rhinoplasty before & after photos
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Revision for Smaller Nose After Rhinoplasty?

I had a rhinoplasty a while ago in CA. I feel my nose isn't "right". It's like my nose went from size extra large to something small. I have thick skin, since the surgeon made my nose literally 2 1/2 times smaller. Is it the thick skin that is making it look odd since my nose is so much smaller? The surgeon cut about 4-5mm off the bridge (entire). Will the skin shrink to fit my nose? My nose looks undefined and the bridge looks flat (especially from the side view). What are my options for it to look normal again?

Asked 28 months ago by qwert123 in NY
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Revision rhinoplasty

First, it is difficult to make a judgement based on just one small photo and one view. Palpating (feeling) the nose is also important to determine skin quality. All this goes into the decision making process when deciding what to do. But, based on the one photo it does appear that perhaps your lateral osteotomy (the bone cut along he side of the nose to narrow the nose) was made too high so there appaears to be a "step" deformity. This can be easly felt on exam,. This may... more
Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
+1

Revision rhinoplasty can make noses larger too

Sometimes patients need larger noses restored by revision rhinoplasty as well as the more typical, making a nose smaller. There are a number of techniques used to accomplish this. It is difficult to tell from the photo you sent what you really need. Plus, to give an educated opinion the nose needs to be inspected in person with a careful examination. It is important to wait a full year so healing can be almost complete. You should also seek out a revision specialist. since revision surgery... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
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