Revision Rhinoplasty: Q&A
Ask a Question
What Would You Do to Me for a Revision Rhinoplasty? (photo)
I am looking for the right doctor to help me with a revision. I do not like the doctors in my area (las vegas) and I am willing to fly out of state. I want my nose less wide, less droopy, no knuckling or "stuck on nostrils" and most of all I want symmetry. I a m 4 years post op. Currently saving my money now because I know I want this done. I am also interested in getting a bullhorn lip lift to make my lips symmetrical and balance the width of my lips. I want to get it right this time.Are My Expectations Reasonable? What is the Typical Cost?
Tags:
9 Doctor Answers |
Asked by
Msplatinum
in Las Vegas, NV
+2
Revise your nose..I'm an expert to correct pinched tip
Your nose does indeed look" nosejobby". Two of the things you need to have repaired are things I am considered a world expert in. First you have a pinched tip. This occurs from a poor surgical technique and is defined as a groove,( like you described.) which indents your nostril rim as if you were pinching it together with your fingers. I presented a lecture to the Rhinoplasty Society in a simple technique I have used in satisfactorily correcting over 100 pinched tip...
more
+2
Revision Rhinoplasty
A revision is in order in your case, there are several issues that need to be addressed. I can not see your entire mouth to advise on the bullhorn lip lift. I strongly suggest that you consult with a Board Certified Facial Plastic Surgeon. I am a leading expert on this type of revision. Please feel free to contact my office and schedule a consultation with me if you are thinking about having your procedures done in the Beverly Hills area.
+2
Rhinoplasty and Lip Lift
You have reasonable expectations. The nasal tip looks like it has been altered but has lost its balance. This is primarily caused by alteration to the lower lateral cartilages. I think the tip could be improved. From the basal view (looking up your nostrils), your right nostril looks weaker and slightly collapsed when compared to the left and the inner part of your right nostril (medial crura) is wider, making your right nostril smaller than the left.
A bullhorn...
more
You might also like...
Real Stories
Need Yet Another Nose Procedure - Orlando, FL
I am interested in a secondary rhinoplasty. My prior rhinoplasty was performed in 1998 and...
+2
Revision Rhinoplasty
The problem I see is not so much an increase in the width of the tip, but one of proper proportions. By comparing the preop and postop views, it looks as though an attempt was made at narrowing the tip. If you look closely, the lower portion of the tip is narrower. The width that you describe is above that and looks worse now that the inferior tip is narrower. You have a common deformity in which the cartilage of your lower 1/3 of your nose is angled too high. This creates deep sidewall...
more
+2
Revision Rhinoplasty
You do have a collapse of your tip with asymmetrical nostrils and increased width of your tip. With the appearance of your nose I suspect you also have breathing problems. Over 2/3rds of the nose I do are revisions and the asymmetry you describe is a common complaint. A profile view should also be evaluated. Your expectations are reasonable; it will cost $8,000-10,000 depending on what is necessary.
+1
Revision rhinoplasty recommendation
To address a wide nose osteotomies are performed. To address wide nostrils an alarplasty is performed. The droopiness can be eliminated by releasing the depressor septi ligament, tucking in the columellar show, and raising the tip slightly. Symmetry is of importance in rhinoplasty. The typical cost for revision rhinoplasty is approximately $9000, which includes the operating room, anesthesia, and surgeon’s fee for performing the procedure.
+1
Revision rhinoplasty to improve nose
Revision rhinoplasty could be used to improve your nasal appearance and make it appear more natural. Your tip can be improved by addressing the malposition of your tip cartilages (see link of a blog post below that discusses this). After your initial surgery your lower lateral crural cartilages healed pointed in a more upward direction (cephalic positioning). This leads to an isolated-appearing tip that doesn't transition normally to the nostrils.
The width of your nostrils can also be...
more
+1
Revision rhinoplasty and lip lift
A revision rhinoplasty could certainly address your concerns. I would agree that your nose (and nostrils) appear asymmetric, the tip is misshapen and your columella appears to be hanging low which may cause your concerns of a "droopy tip" in the front view. Without a profile view it is difficult to comment on the actual height of your tip and your overall nasal contour. A lip lift can be combined with a revision rhinoplasty and it often results in pleasing results as long as you have a long...
more
+1
What Would You Do to Me for a Revision Rhinoplasty?
Aestheically speaking, the nose could be a bit thinner along the nasal bones and there appears to be evidence of an "open roof" deformity from a previous nasal hump removal. If this is the case, the nasal bones would need to be broken towards the midline in order to close the open roof which would also narrow the nose. The tip appears to be wide, and there's the telltale appearance of spreader grafts that increase the width and volume of the nasal tip which is often not...
more
Comments (0)