Evaluation by qualified rhinoplasty plastic surgeon necessary

A 'bad nose job' can be very subjective. A bad nose job can present itself with a undesired cosmetic appearance or an undesired breathing problem. Realize that the nose will go through a lengthy 'healing' period following rhinoplasty. This can be anywhere from 1 to 2 years. Do not rush into a rhinoplasty revision; however, it is not unreasonable to discuss your concerns with your plastic surgeon or another if you have significant concerns or anxiety. Avoid undergoing further surgery for at least one year following your initial rhinoplasty.

Rhinoplasty is considered to be the most difficult of all cosmetic surgical procedures. Even the best surgeons have revision rates of 3-5%. Bad nose job results are usually due to many factors, the most important of which is choosing your surgeon carefully. I am continually amazed that many patients are more careful, and spend more time picking out the color and model of their new car than they are in selecting the surgeon who will operate on their nose.

As we know, the nose is smack dab in the middle of our face, and cannot be covered by clothing when things go wrong.

• You need to discuss with your surgeon what bothers you about your nose during the initial consultation.
• Your surgeon needs to make the proper diagnostic evaluation in order to correct what bothers you.
• You need to be assured that your expectations are realistic.
• Look at before and after pictures.
• Ask to be scheduled when other post-operative patients are in the office so that you can see and speak with them.
• Look at the before and after photos.

Once the surgery has occured, one needs to wait 6-12 months before correcting the bad result. If you still have confidence in your surgeon then schedule a revision surgery. You may want to get one or two other opinions from respected rhinoplasty surgeons (in the Chicago area, Dean Toriumi, M.D. is among the finest in the world).

Fillers may temporarily help particular problems, but truly bad results will need surgical correction.

Remember that the best chance for sucess is the first time, so choose carefully.

Before and After photographs of your nose are essential to determine what needs to be done. When you say "Bad Nose Job" it is important to define what you mean; some patients define "bad" as minor asymmetry or swelling after surgery, and this can improve with time.

If there is clearly a major problem, then it is better to correct the problem sooner rather than later. If your surgeon does not agree with your assessment of the results, then schedule a consultation with a Board Certified Plastic Surgeon who has extensive experience with revision rhinoplasties.

Revision rhinoplasty requires a very specialised set of skills to perform well.  It is important for you to wait at least 1 year to undergo your revision rhinoplasty procedure so that your surgeon can see what the nose looks like with most or all of the swelling resolved.  Make sure your surgeon is a skilled revision rhinoplasty expert with lots of experience and most importantly DO NOT TRY TO BARGAIN HUNT when seeking out your surgeon for your revision rhinoplasty. This procedure requires a lot of experteise and most surgeons who perform this procedure charge more for revision then primary rhinoplasty

Sometimes bad nose jobs resolve themselves.

The most important thing is to wait for at least one year. All noses evolve and continue to shape themselves, even beyond a year. I have seen noses change even 5 years out. Once that task is complete, then ask yourself what you truly do not like about your nose as far as the way it looks and how well you breathe.

Do you breathe worse or better than before your nose surgery?
Are you now a mouth-breather, when you were always a nose-breather?

With regards to looks, the more specific you can be with your Plastic Surgeon the more he/she will be able to communicate with you about what can be done and an agreement that fits both your sense of beauty/aesthetics and your surgeon's can be reached.

When choosing a surgeon to do your revision, it is important that the surgeon is experienced with revisions and can take the necessary steps needed which sometimes involves taking ear and rib cartilage grafts because the cartilage within the nose itself is depleted.