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Crooked Nose One Year After Septo-rhinoplasty, If This Possible to Fix?

asked 8 months ago by Worried2011 in Toronto, ON
Latest answer by Michael R. Macdonald, MD
Question viewed 260 times
Tags: crooked, 1 year post-op, breathing problems, worse

I am ONE year post primary septo-rhinoplasty. Pre-surgery, I had an almost perfect profile and straight nose & even nostrils. What I asked for was correction of breathing problem and narrower nose. My nose is much bigger than before, crooked and noticeably shifted to the left, tip is hard and bulbous and nostrils uneven. I also have chronic pain in the bridge and tip areas. I consulted 3 different surgeons, all say different things. My own surgeon says he can't help further. Any Suggestions?

6 answers to Crooked Nose One Year After Septo-rhinoplasty, If This Possible to Fix?

+2

Crooked Nose after SeptoRhinoplasty

I'm sorry to hear about your experience. Unfortunately, you are not alone. If your original surgeon cannot help you any further, get a copy of the operative report and seek out a Board Certified Surgeon who is a specialist in the face who can help address the problem. The issues involved are two-fold: 1) underlying anatomy that is contributing to the crooked nose and 2) external aesthetics (tip, uneven nostrils, etc.). Depending on how much work needs to be done,... more
Kimberly Lee, MD

Beverly Hills Facial Plastic Surgeon
+2

Crooked nose after rhinoplasty

It does sound like you need a revision procedure. Time now to take a deep breath, start doing your research and move forward. Deviated noses by themselves are difficult to correct but adding the revision factor increases the complexity. You need to find a surgeon with skill, experience, interest and comfort at both. Make sure you see plenty of before and after pictures of previous patients he/she has worked on with these problems. Try to sort out in your own mind what is your highest... more
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon
+2

Rhinoplasty

I am sorry to hear about your predicament. If you are able to post any photos, I may be able to give you an opinion. Sounds like you need a revision surgery done. The plan for revision will have to be done in a personal consultation with assessment of photographs etc. But I want to give you hope that there are ways to improve the situation. Rhinoplasty is such an operation, that there may be differing opinions. You should try to revisit one of the... more
Shashidhar Kusuma, MD

Plantation Plastic Surgeon
+1

Steroid injections can improve the apparent larger size and shift if related to scar tissue

My strongest advice to you is to wait at least 1 year from your initial septo-rhinoplasty surgery before considering revision surgery. You’ve been patient enough to do that – so good job! Patients are often surprised at how much change can take place so long after their initial surgery – so much so that revision surgery is sometimes no longer even considered. If your problems do persist more than a year after the surgery, certainly revision... more
Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon
+1

Crooked Nose One Year After Septo-rhinoplasty, If This Possible to Fix?

I have performed Rhinoplasty for over 20 years and IMHO, you already seem to have your answer. After 3 consultations, what were the recommendations regarding a Revision Rhinoplasty? They have the advantage of examining your nose and ascertaining what would need to be done during the Revision Rhinoplasty. If during the previous Rhinoplasty, a hump was removed, you might have an open roof deformity from incomplete in-fracture of the nasal bones. more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Avoiding problems in revisional rhinoplasty or septoplasty

There are many possible causes for your dissatisfaction. Without pictures it is very difficult to comment. The good news is there is nearly always a reasonable solution. I would seek out a plastic and reconstructive surgeon with craniofacial training as this is where I developed my technique and skills in treating secondary and tertiary rhinoplasty. Unfortunately most patients slide down a slippery slope after one unsatisfactory rhinoplasty. they often visit... more
Rian Maercks, MD

Miami Plastic Surgeon

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