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Bad Nose Job- Seeking Revision.

asked 10 months ago by Hopeful2011 in Mahal
Latest answer by Shepherd G. Pryor, MD
Question viewed 527 times
Tags: bridge, nose tip, female, 1 year post-op, options, unhappy

Hello, I had a nose job about a year ago and I'm unhappy with my results. Should I seek revision? Also, what exactly is wrong with my nose? Why is there a depression at the junction between the tip and the bridge? What did my surgeon do wrong?

11 answers to Bad Nose Job- Seeking Revision.

Bad nose job seeking revision rhinoplasty

Usually, the deformity that you've encountered stems from overresection of the nasal dorsum, especially in the middle third of the nose. If I were to see a profile photo I'm betting that I would see a deficient amount of height on the bridge of the nose and too much fullness of the supratip region with a droop. This is due to overresection of bone and cartilage and a pollybeak deformity. The inverted V you see on the photos is due to the shadowing of too low a... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

Super-tip after rhinoplasty

I feel your pain and sympathize with you. Rhinoplasties are tricky when the skin is Mediterranean and oily. It sounds counter-intuitive i know but an augmentation, not just a reduction, is needed in most cases. I'm Syrian/Lebanese and I know my peoples' noses like few Westerners know them. You need a revision, and a bridge graft (possibly a silicone implant). I've tried cartilage and it doesn't do the job in our noses. Sorry to be so personal but few Europeans... more

Ayman Hakki, MD
Washington Plastic Surgeon

Yes, if you are unhappy I would find a revision rhinoplasty specialist and go in for a consult

Yes, if you are still unhappy with your results i would find the best revision rhinoplasty specialist in your area and schedule a consultation. It is hard to tell from the photos what is 'wrong' but about 20% of people need revisional surgery so this is not uncommon. see video

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon

Revision rhinoplasty

Difficult to say from these photos alone. You may have what is called poly beak deformity as the reason for your "step off" in frontal view or it may be scarred soft tissue. You should have an exam with a surgeon with revision experience for a better evaluation.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Bad rhinoplasty?

I have specific advice for you, as there are some features of your nose which might explain your sense that all is not right. Having said that, the pictures you provide are not good enough and a lateral view pre and post is necessary to advise you completely, particularly to look at your tip projection and the supratip shape. However: 1. Your preop nose is the most difficult to achieve good results with. Its broad on front view and thick skinned. 2.... more

Howard Webster, MBBS, MBA
Melbourne Plastic Surgeon

Revision rhinoplasty to fix depression on bridge

It's hard to fully assess your nose without other views. Revision surgery could be considered to improve the areas that concern you such as the bridge. You do have a somewhat fuller tip and it may be that improving this would help the depressed area. Being about a year out from surgery would allow for a good assessment of what is leading to your concerns. You could visit with your original surgeon to see what his or her opinion is. If you're not satisfied you could get... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Seeking revision rhinoplasty

Ask your surgeon what he or she thinks. Then get a second opinion. Remember rhinoplaty is the most diffcult cosmetic operation but, revision rhinoplastt is the most fifficult of all. I need to see better pictures

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Rhinoplasty revision is the only way to correct the nose after 1 year.

Rhinoplasty revision is the only way to correct the nose after 1 year. The tip can be refined and the balance of the nose restored to a more aesthetic look. I would need to see the profile view as well. See an experienced revision rhinoplasty surgeon for a second opinion.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Revision Rhinoplasty in Thick and Oily Skin

Hi Hopeful, It appears that your skin is thick and perhaps oily. Thick and oily skin is difficult to work with when performing rhinoplasty. The changes after rhinoplasty especially in young patients with your type of skin can take a few years. You should discuss your concerns with your rhinoplasty surgeon, and perhaps get a few other opinions from rhinoplasty experts. I would likely wait and see if your nose changes favorably over the next year before having... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Revision Rhinoplasty

Hi, Difficult to say with pictures you sent, It appears that you have a bulbous tip and there is a tip-dorsum unevenness. You should get a second opinion if you are not happy with your results. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Possible revision for "bad nose job"

Unfortunately the pictures you provided cannot be evaluated clinically and your complaints are not specific enough to respond to. The first professional you should talk to is the original surgeon. You should know that approximatly 10% of all rhinoplasty patients are dissatisfied with their results, no matter how experienced the surgeon, and that is why you should maintain a dialoge with your original surgeon.