Very Self Conscious of Nose Since Rhinoplasty.

asked 1 year ago by dels in portsmouth
Latest answer by Sam Naficy, MD
Question viewed 600 times
Tags: bridge, 1 year post-op, shorten, unsatisfied

Hi, I had a rhinoplasty a year ago as I had a wide tip.I wanted a more defined bridge and tip,but have ended up with the appearence of a flat bridge from the front and little change to the tip.He also raised the tip which has made my nose appear shorter.I prefered my nose before the surgery. Am I within my rights to go back to my surgeon and voice my concerns?Does he have a duty to fix this?Can anything be done about it,im extremely self consious of it as it is.Any advice greatly appreciated.

9 answers to Very Self Conscious of Nose Since Rhinoplasty.

Revision Rhinoplasty with previous Rhinoplasty surgeon or not

I have performed Rhinoplasty and Revision Rhinoplasty for over 20 years and I understand your dilemma. There are things that could be done to your nose at this point to make it more attractive, should you decide to do so. Narrow the nasal tip, narrow the bridge and reduce the rotation of the nasal tip. The real question is who would you want to perform that Revision Rhinoplasty surgery? It's always, well IMHO almost always financially in the... more

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

drfrancispalmer.com

Unexpected result after rhinoplasty

I too like your nose better in the before picture. Of course you should let your surgeon know of your disappointment, 'duty' is legal term and I am not much of a lawyer. I can say that something can be done about your result with a revision rhinoplasty. We find computer simulation an effective way to plan steps and changes in rhinoplasty, and a way to 'try' changes before. We would suggest the same process the second time around to you and your surgeon have a visual goal... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Unhappy with 1 year results

You should certainly voice your concerns to your surgeon and more than likely he/she will agree with you and will want to improve the results

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Flat bridge and tip

Hey Dels - sorry you are not happy with your nasal surgery - it would seem that the middle part of your nose has either collapsed or has been over resected. The tip is rotating up as a result of the middle nose change - at a year you are probably not going to see much improvement. I would suggest that you find a different surgeon to address your concern - if you feel comfortable returning to your primary then by all means - I would be certain that he is able to see and... more

Paul E. Kelly, MD
Hamptons Facial Plastic Surgeon

Rhinoplasty

You should definitely return to your rhinoplasty surgeon and express your concern. The middle third deformity may be corrected with a cartilage graft and possibly further tip work.

Elliot M. Heller, MD
New York Facial Plastic Surgeon

You can be helped but get good advice

Your changes are the result of skeletal reductions. I can tell that your bridge and tip were reduced, and your tip cartilages, which were rotated up before surgery and loss of structural support (a normal anatomical variant, like blue eyes) have made the tip rounder. You may easily have a new airway obstruction--your airway is almost certainly not optimal, based on what I see. These problems are extremely common and all fixable. You have the right to tell your surgeon,... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Very Self Conscious of Nose Since Rhinoplasty

Now that we have a profile view it is obvious that you have an over resected dorsum and lower lateral cartilages have elevated by scar tissues leading to alar retraction and subsequent columella show. As a consequence, the tip has an elevated position and round. There is some supratip fullness. The nose then appears short and angle between your nose and upper lip rather large. The revision rhinoplasty should correct all these problems which must be addressed specifically and sometimes with... more

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Very Self Conscious of Nose Since Rhinoplasty.

From the picture on the right it appears that the mid third of your nose has caved in, this may be caused by collapse of the cartilage in the mid one third of the nose, and it can happen after a hump has been removed, this the flat appearance on your photo. The tip shows pinching on the sides, this creates the appearance that the tip is more bulbous, when in reality its a lack of support on the side walls. It would be helpful to see profile pictures. It would be helpful to go back... more

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

Revision rhinoplasty

You certainly can and should continue communication with your surgeon. It's very important however to recognize that your surgeon probably tried his or her best to meet your expectations and is just as disappointed as you if you are not happy. If after reviewing the situation and your goals you feel that you still have confidence that he or she can execute what you want then go ahead and make it happen. Unless the new goal is completely different then what the original intent was many... more