Bad Rhinoplasty Help (Bossae) What Needs to Be Done to Fix It?

asked 7 months ago by Lake Charles LA in Lake Charles LA
Latest answer by Richard Ellenbogen, MD
Question viewed 382 times
Tags: nose tip, bumps, options

I had a rhinoplasty last year. It looks horrible and is sore. I have bumps on my tip that I assume to be bossae. One side has a bigger bump and looks like part of my nose is unattached and sticking up. On that side the columnella is also hanging down lower and looks like the cartilage is protruding. The profile looks apst normal from one side but weird from the other. The plastic surgeon had agreed to fix it but he just keeps saying something about "a soft padding." How should this be fixed?

9 answers to Bad Rhinoplasty Help (Bossae) What Needs to Be Done to Fix It?

Bad Rhinoplasty Help (Bossae) What Needs to Be Done to Fix It?

Photos, of your nose, would help in the evaluation. If significant nasal tip asymmetry exists at 1 year after a Rhinoplasty, an open Tip plasty would most likely be required

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Revision Rhinoplasty

Revision rhinoplasty can be very challenging. Prior to reoperating on a nose, it is important to allow for the swelling to resolve (takes at least 6mths), and for the surgeon to know what was done previously. If you are confident in your surgeon, I would have him preform the revision, because they know best what was done before. If you would prefer a second opinion, I would advise you seek out a plastic surgeon who is experienced in revisional rhinoplasty surgery. Good Luck more

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon

Revision rhinoplasty can help bossae.

Hello; If it has been one year since you have had rhinoplasty and your nose is “sore,” you need a very thorough examination. I think your plastic surgeon should reevaluate it and then go for a second opinion. I do not understand why your nose would be sore this long after surgery. I understand why you may be unhappy with it, but remember that soreness generally implies that things are not quite right, and before any consideration can be given to... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

What needs to be done?

It's difficult to comment without a photo. It sounds like you will need a revision procedure to reshape, support and line your tip against skin contracture. You need to see a surgeon with revision experience.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Tip bossa

Without pictures it is very difficult to suggest what could benefit you. Sometimes tip sutures or even grafts can improve the appearance.

Steven Wallach, MD
Manhattan Plastic Surgeon

In select patients, the appearance of bossae may be improved by a Non-Surgical Rhinoplasty treatment.

I read your concerns. You may wish to post a photo in a subsequent question for the RealSelf community of experts to review. You may need a revision rhinoplasty, and if this is the case, it may be helpful to get a second opinion from a reputable, experienced rhinoplasty specialist. In certain cases of nasal bossae, I have had good success camouflaging their appearance with Silikon-1000, an off-label filler for permanent results. I hope this is helpful. Dr. Joseph more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Tip Bossa

You describe a tip that will need to be revised to improve your appearance - a picture would be helpful. It sounds like you're questioning your surgeon's advice; a second opinion may be beneficial and reassuring before you make a decision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Seek a second opinion

It is impossible to say exactly what your options are without seeing photos. It sounds like you will ultimately require a revision rhinoplasty. I would recommend you seek a second opinion from a surgeon who specializes in rhinoplasty. Warmest regards. Dr. Pippin

Gregory Pippin, MD
New Orleans Facial Plastic Surgeon

www.pippinmd.com

Correcting tip bossae

From your description, it sounds as if you may have tip bossae. The fixes can be numerous and include going back in and softening the areas you have had operated on or reconstructing the native cartilages, for example. If your columella is also hanging down, then simply putting a morselized softening graft may not be sufficient. I would discuss all of your concerns with your surgeon. There are other options as well but it would depend upon what was done previously and the overall position of... more