Advice on Possible Revision Rhinoplasty. What Now? (photo)

These photos are 10 months post op. At the time, nose was supposedly straightened, bridge hump rasped. Cartilage removed from some area to shorten it or lift the tip. Closed technique. No tip work. The pictures are a final result. But as can be seen, there is noticable asymmetry from the appearance of a lump on the right side only. The nose remains slightly crooked. An assessment will be made with the original surgeon to see if revision work will resolve this. What improvements should be made?

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4 Doctor Answers | Asked by Symon

Doctor Answers (4)
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Crooked nose - revision rhinoplasty

I would be curious to see your original nose. A crooked nose can be due to several different structural problems. Did you previously break your nose? Was breathing (septal) work performed during this surgery? If the interior of your nose is crooked, the outside will follow. Your nose still appears asymmetric to me so I would talk to your surgeon about the interior framework of your nose as well as the exterior aesthetics.

Possible Revision Rhinoplasty

There is some asymmetry and deviation as you describe. Consult with your surgeon about a revision. I think there is room for improvement.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision rhinoplasty to correct a curved nose

Thanks for the question, Symon. To me the primary issue is the curvature of the mid-portion of your nose, likely due to curvature of the top of your septum. This is giving your nose a C-shape. This can be corrected by straightening your septum with suture techniques and/or placement of 1 or 2 left sided spreader grafts. I would do this through an open approach, to ensure that the spreader grafts and sutures are placed precisely. Are you having any difficulty breathing? These... more

Possible revision

Well its hard to say exactly but since you have thicker skin and an element of rosacea of the skin the healing takes considerably longer. perhaps a steroid injection if its post op swelling, massage and taping at night. i would reconvene with the original surgeon and have him inspect for any structural abnormality aside from the skin being thicker and swollen from the operation. In that case allow the skin to settle as much as possible to better gauge the severity of the... more