Revision Rhinoplasty: Q&A
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Cooked Nose Tip After Rhinoplasty. Surgeon Said Second Rhino is Risky. Need a Second Opinion? (photo)
Hello dear doctors! Around 14 yrs ago, I underwent a Rhinoplasty procedure. However, a few years ago (5 or so), I started to notice the tip of my nose crooked to one side. I consulted a surgeon and he said a second Rhinoplasty would be very risky and he would rather recommend someone specialized on these cases. My questions: Generally speaking, how high is the risk for complications under a similar scenario? Is it possible to correct this with fillers or another method? Thank you for your time!
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10 Doctor Answers |
Asked by
7080anon
in Washington
+2
You would need to post better photos for advice on Revision Rhinoplasty or Non-Surgical Rhinoplasty.
I read your concerns and reviewed your photos:
You appear to have thin skin, excessive nostril-show, and your "crooked" appearance may be from a deviation of the bottom of your septum.
In my practice, I like to reserve revision rhinoplasty as a last resort, and many people with rhinoplasty-related irregularities benefit from non-surgical rhinoplasty procedures. My expertise is with Silikon-1000, an off-label filler for permanent results.
Feel free to re-ask your query...
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Revision rhinoplasty
I would not recommend using fillers to help improve the appearance of a crooked nose. I have seen too many complications arise when using fillers for a non-surgical rhinoplasty. These complications may include asymmetry, rejection, and necrosis (the tissue dies). Revision rhinoplasty is a very difficult procedure, and requires a specialist with a great deal of experience to obtain an optimal result. And correcting a crooked nose is generally very difficult as well. It is possible to make a...
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Revision rhino after 14 years to address crooked tip
Revision rhinoplasty is a complex endevour and there is the potential for dissapointment. with that said, your surgeon is very wise to recommend that you see someone with experience. often revision rhinoplasty requires re-working/ re-shaping the existing cartilage and borrowing cartilage from the ears or ribs. as you visit with surgeons if they do not mention this, I would suggest at least brining up the possibility of grafts. if this idea is forign to them than...
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Risk of Revision Rhinoplasty
As you know there is some risk in every operation. Putting this in perspective, the surgeon that wanted you to see a revision rhinoplasty specialist was correct because revisions are a specialized area of rhinoplasty surgery.Your asymmetrical, deviated tip with nostril rim retraction is best treated with a revision. I may sound biased because over half of my rhinoplasty practice is revision surgery, but I feel there is more risk of complications with fillers in the tip.
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Revision Rhinoplasty
Hi,
It would be only risky if you had the revision surgery with an inexperienced rhinoplasty surgeon. Maybe thats why your surgeon told you it would be too risky. It looks like you may have an inverted V deformity and some tip asymetry.This can all be remedied with a revision rhinoplasty.I dont think injectable fillers will give you any long term results.
Best,
Dr.S.
see video
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Revision not risky
Your revision, if performed by an experienced surgeon in revision rhinoplasty should have minimal risk. It is possible that your surgeon does not want to or is not able to perform the revision that you need, but based on your photo the risk does not appear to be a problem
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Revision Rhinoplasty should be done by those who specialize in this area
The risk of complications for your problem would seem to be pretty low hands experienced in rhinoplasty. I would guess that the greatest risk to you would be that you don't like what your nose looks like after surgery. Fillers can be used to camouflage certain area, but can't fix areas that are crooked. Fillers are usually reserved for areas that need more volume but it can't move the nose. Only surgery can do that.
Listen to your surgeon and seek out a specialist....
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Are secondary Rhinoplasty surgeries risky?
The risk is primarily in not correcting the issue you are concerned about. The first step is determining if your concerns are significant enough to be noticed by the surgeon and if so, what is causing the problem - in other words- making an accurate diagnosis. Most experienced Rhinoplasty surgeons will be able to determine if your concerns are reasonable and how likely they would be to correct the deformity you are noticing. Best of Luck Dr Harrell
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Revision rhinoplasty
Revision rhinoplasty even for the most minor problem should be done by one specializing in this field. It is not totally risk free in this case but the risk is minimal
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Revision rhinoplasty
Without an exam, it is hard to say what could be done for you or not. It is difficult to say from the photos you posted.
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