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Ricardo Izquierdo, MD answers: What to do about deformities after Rhinoplasty?

I had Rhinoplasty 5 months ago, open procedure with the osteotomy (shaving of the dorsum), and tip plasty for a bulbous tip. But after five monts, I still think my nose is bulbous and is not straight when it previously was. Also, the tip is shifting as you can see in my picture. There was no cartilage used. I also have a dent on my right nostril with asymmetry. I also think he has left my nose overprojected. Can anyone please point out what are these deformities and what needs to be done?


Ricardo Izquierdo, MD
4 months ago

 Your problem is difficult to assess from just the front view; a side view would help tremendously.  However, what is noticeable is fullness in the the supra tip area and an inverted V deformity.   The cause and effect are variable.  For the fullness of the supra tip your may require more removal of the lower part of your septum and/or a cartilage graft in the upper part of your nose.  The inverted V deformity may require spreader grafts to line up the upper bony area with the middle area of the nose.  One of these maneuvers or a combination of others may be needed.

I suggest asking your surgeon what he/she thinks has happened and how an improvement can be reached.

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