I got a nose job almost 2 years ago and the results were terrible. The side view is kinda ok, but in the front it looks deformed. The skin in the sides became "loose", the bridge too low and the tip is crooked and weird shaped. But the worse is the sagging skin. I look double my age now. Also I lost facial fat. What can I do to get a better look? I dont even want to go out cause Im scary ugly now. In case of needing a implant to make the bridge higher, how is it done? Thanks
Bad Nose Job - What Can I Do?
Doctor Answers 8
Bad Nose Job- What You Can Do
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You may be a candidate for a Non-Surgical Rhinoplasty to improve the appearance of your nose.
I read your concerns and I reviewed the frontal photo of your nose. You appear to have excessive nostril show, and a low nasal bridge. You would be surprised how much improvement you could see with a well-performed Injectable Filler procedure. I prefer Silikon-1000, an off-label filler, for permanent results. In my view, you should leave revision rhinoplasty surgery as a last resort.
You should consult several reputable rhinoplasty specialists to see what might be best for you.
If you like, feel free to email your frontal and profile photos, along with a description, and I'll be happy to share my thoughts with you.
Dissatisfied with rhinoplasty
You have many complex issues, but they can all be addressed with revision surgery. I would have to analyze multiple views of your nose in order to provide you with a more thorough answer. However, I will address how to build up your bridge. I do not use any foreign materials in the nose, having seen many complications. I prefer to use the patient's own cartilage. While septal or ear cartilage are preferred, I often have to use rib cartilage for patients with very low bridges. My advice to you is this: Seek a very experienced revision rhinoplasty surgeon. Straightening a crooked nose and building up a low dorsum are two very difficult issues to address. Hope this helps.
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It is unfortunate that you are dissatisfied with your results. As plastic surgeons, it is our goal to achieve pleasing outcomes for our patients. However, it is not always possible. Obtain consults from several experienced rhinoplasty surgeons and learn about your options. There are many different approaches but almost all will require introduction of material into the nose obtained from donor sites or foreign materials to augment your nose. I don't quite understand the facial fat issue however.
I am sorry that you are so unhappy with your previous rhinoplasty, but it sounds like you want a revision. It certainly is possible.
Rhinoplasty - revision
Lawra, I'm sorry you are so distressed from your surgery. You should definitely seek consultation with someone who does revision rhinoplasty. Cartilage grafts can be used to build your bridge and give you better definition in of your nasal tip. The sagging skin is unusual - I'd have to do a physical exam to have a better understanding of your nasal anatomy. Regardless - take your time to find a rhinoplasty specialist you trust and are comfortable with. I wish you the best of luck and hope your next experience is more positive for you.
Dr. Cat Begovic M.D.
If you want to change the bridge height, there are several ways to do that. I typically use a custom carved silastic implant. I like to use it because it can be custom made for each particular nose. Also, when placed right, it give the best long term results, in my experience. You can checkout my website below to read more about my implant philosophy.
Revision rhinoplasty for the bad result.
All of the things you mentioned can be improved by an experienced revision rhinoplasty expert. Septal or ear cartilage grafts can reverse the pinching of the tip, ass bridge height, lengthen a short nose, etc. But it is the skill of the surgeon that will give you the best results.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.