Rhinoplasty: Q&A
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Do I Have A Bad Nose Job and is a Revision Needed?
Had open septorhinoplasty with osteoctomy last february to remove hump in nasal dorsum,improve breathing and fix droopy tip.First month could breathe ok,nasal dorsum was fuller and tip more refined.Now i think i have droopy tip,very flat dorsum which makes nose look more prominent(i have retrognathism).Supra tip takes definition from tip.Can't breathe(have to use nasal drops).Surgery had 0 cost,made at semi-public hospital.Should i trust the PS for revision?How can i address him about this?
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10 Doctor Answers |
Asked by
PollyBeak
in Portugal
+2
When a rhinoplasty revision is needed
The only firm time a revision is indicated is airway obstruction, the rest is very subjective influenced by personal tastes which as you read reviews will vary by surgeon or observer. Some would be delighted with your result. My observation is that the bridge (bony) was reduced a bit too much and a graft over the bridge will solve the appearance of a supra-tip. Steroids will be a mistake. Still however wait a year to decide.
Best of luck,
peterejohnsonmd
+2
Do I Have A Bad Nose Job and is a Revision Needed?
You will have to wait until at least 6-9 months after the surgery before considering a revision. You have over-resected mid-dorsum, high radix and a small poly beak deformity. A revision should address these problems as well as a chin implant in order to achieve a more balanced nose.
Huntington Beach Facial Plastic Surgeon
+2
Revision rhinoplasty
Although it is a little difficult to tell from your photos, it does look like you may have a small polybeak deformity. If your primary rhinoplasty was performed in February, 2011, then your surgeon may be able to improve the situation with a steroid injection placed into the area of supratip fullness. If the procedure occurred in 2010, then it is probably too late for a steroid injection to help. I would recommend visiting your surgeon to discuss in either case. Also...
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+1
Concerns regarding rhinoplasty performed in the USA
You certainly have a reasonable rhinoplasty result. Its difficult to comment on the your situation without preoperative images. The mid third has either been slighly over resected or settled over time due to loss of support of the nasal septum. You have slight fullness in the supratip accentuated by the dip in the mid third. Finesse secondary surgery to deal with the breathing and persistent cosmetic concerns could be performed after a year of...
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+1
Consider Chin Implants
It is still too early to fairly judge a rhinoplasty performed four months ago. The tip may still have considerable swelling especially in a male with fairly thick skin and it may be up to year later before all that resolves. It would be helpful to the preoperative photos as well to be able to tell what is the result of surgery and swelling and what was naturally there. One thing that can confidently be stated is that the retrognathia or the illusion of the the weak chin was...
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+1
Revision Rhinoplasty
Wait another 6-8 months before considering a revision rhinoplasty. If you're not satisfied at that time and continue to have breathing problems, discuss a revision with your surgeon or get a second opinion.
+1
Secondary rhinoplasty is risky, chin implant would look good.
Need to see preop. photos to make any fair judgment about the result, but certainly your present situation is not bad. You do have slight concavity to the dorsum and a small polybeak, but no rhinoplasty result is perfect. Redo surgery is risky and is a judgment call made by you and your surgeon. All rhinoplasty surgeons do them (about 15%), but the goal has to be very specific. Putting a graft in to augment the dorsum comes with a host of possible problems, partial...
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+1
Revision rhinoplasty
You need to wait a bit longer. If after a year you are having an airway problem which is structural then you will need a revision. A revision for aesthetic reasons is a matter of taste. Some patients would love your result. some may prefer a little higher and stronger profile which would also reduce the illusion of supratip prominence.
+1
Polly beak?
I do not think that you have a polly beak deformity from your photo. It would have been nice to see pre surgical photos. Give the nose a year to heal before considering a revision.
+1
Rhinoplasty
You have a very good result
Your surgeon did excellent. You are picking on very small hardly seen problems if any
Baltimore Plastic Surgeon
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