Go to Same Doctor for a Revision Rhinoplasty?

asked 5 months ago by ChocolateApples
Latest answer by Eric M. Joseph, MD
Question viewed 86 times
Tags: choosing a surgeon

June 2009:1st procedure, great result, but swiped tip on BF's chin,tried fixng myself (smart i know), resulted crooked. Jan 1 2011:same doc did revision, and came out worse- one side too long, other side too short, doc said he "bent" cartilage or sthg. Oct 1: 2nd revision w/ different doc, short side looks great but other side looks unchanged. Left nasal tip pinched, overall nose too narrow. Possible to recuperate volume and achieve better brow-tip aesthetic lines? With same doctor?

5 answers to Go to Same Doctor for a Revision Rhinoplasty?

Choosing Surgeon

If you are comfortable with your last surgeon, you can have him evaluate you for another operation. If you're questioning your relationship with him, it might be reassuring to get a second opinion from another surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

You may consider a Non-Surgical Rhinoplasty to add volume to your nose.

I read your concerns and reviewed your photos: 2 months post-op is way too soon to consider a 4th Rhinoplasty Surgery. In my practice, Rhinoplasty Surgery is reserved as a last resort. In many cases, a pinched nasal tip, and a nose that is too narrow from previous surgery, may be improved with an injectable filler treatment. I prefer to use Silikon-1000, an off-label filler for permanent results. Hope this is helpful for you. Dr. Joseph see video

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Revisional Rhinoplasty

If you are uncomfortable with your current surgeon, I suggest a second or third opinion. Revisional rhinoplasty is really a subspeciality of plastic surgery. It requires extensive experience and judgement. In addition, not many surgeons are able to perform revisional rhinoplasty through a "closed technique." A large portion of my practice is revisional plastic surgery, particularly revisional rhinoplasty. Virtually all of my rhinoplasties are through a "closed... more

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon

Revision Rhinoplasty San Diego Patient

Maryjayne, it appears that it is possible for your to recuperate the desired volume with a better brow-tip aesthetic line. With regard to going back to the same doctor for another attempted revision - it really depends on your surgeon's expertise in this particular procedure. Does he/she have dedicated experience in cosmetic nose reshaping? Or do they happen to do all other types of plastic surgery as well like breast augmentation, tummy tucks etc? If you think it is a matter of your... more

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

www.drhilinski.com

Who should perform revision rhinoplasty

You appear to have a collapse of your left lower lateral cartilage. This can lead to the pinched nasal appearance. This can be addressed with additional surgery but is complicated by the prior rhinoplasties you've had. The main issue is that cartilage grafting would likely be needed and you may have already had your septum used up with the prior procedures. You can discuss your concerns with your surgeon to see if he feels comfortable with addressing the problem. If you have... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

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