Revision Rhinoplasty: Q&A
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Would it Work if I Had Nose Surgery Again and They Shorten It?
i had rhinoplasty a little over a year ago and i was happy with everything but the length and that my nose turned back a little . my nose was crooked and he turned it back but he did say it might move a little . if i was to have another surgery would my nose turn back again and if they were to make it shorter would my nose look weird and point to the ceiling ??
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10 Doctor Answers |
Asked by
Marie2005
in Lake Charles louisiana
+2
Nose still looks long after Rhinoplasty
Yes, from your pictures, the nose appears long which is another way of saying that the nasal tip is under rotated. I frequently use a technique, in this situation, that trims the anterior septal angle with placement of an orthopedic 5-0 clear prolene suture that rotates the nasal tip up 10-15 degrees. In fact, I did this procedure today on a Revision Rhinoplasty patient that had their first Rhinoplasty done elsewhere.
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Long noses can be made shorter and crooked noses straighter
It is easier to make a nose shorter in revision rhinoplasty than making it longer. As for straightening out a crooked nasal tip. That is sometimes difficult. A skilled revision rhinoplasty surgeon can likely make it straighter but not necessarily perfectly straight. We have a number of new techniques, including the approval of a product used for crooked noses in Europe for a number of years. It's called a PDS Plate. I find it very useful for revision surgery in crooked noses.
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Shortening a long nose with revision rhinoplasty
Revision rhinoplasty can usually shorten a nose that's too long without making it look over-rotated (too turned up). It probably needs some rotation (upward tilt) and that's where computer imaging can be very helpful in planning surgery and making sure the patient and surgeon are on the same page aesthetically.
As for taking out any twist or skew, this is more difficult in revision rhinoplasty but it, too, can often be achieved with a variety of techniques including clocking...
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Revision rhinoplasty to shorten nose
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Revision surgery to rotate nose
Conservative rotation of your tip should be possible. This should yield a natural result, not one where the nose is pointed up to the ceiling.
It would be very helpful to undergo computer morphing with your surgeon to go over what level of change would be best for you.
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Revision rhinoplasty and shortening an overly long nose
There are two issues that you are presenting.
Shortening your nose without making it look upturned: Your nose appears to be over projected making it appear overly long. Shortening your nose would entail deprojecting the tip of your nose so it is more in line with your nasal bridge. If one were to significantly rotate or upturn your nose, this would also create a shorter appearance but would not look natural.
Straightening your nose: This is more...
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Would it Work if I Had Nose Surgery Again and They Shorten It?
It is very difficult to say from your pictures if you do have a long nose since you are smiling and in some patient smiling pulls the nasal tip down and nose appears to be longer than it is. Profile and frontal non-smiling pictures will help. If, however, you do have a long nose, revision surgery will be able to correct it.
Huntington Beach Facial Plastic Surgeon
+1
Shortening Nose
As best I can tell with the pictures you submitted, you can probably shorten your nose. You have a great smile, but profile pictures without facial animation would be helpful.
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Revision Rhinoplasty Surgery may lead to a shorter appearance of your nose.
I read your concern and reviewed the photos you posted. There does not seem to be much of a difference between your before and after photos. In your latest photo, your tip appears a bit overprojected and droopy. Well-performed Revision Rhinoplasty Surgery may lead to a more pleasing appearance.
I hope this is helpful for you.
Regards from NJ.
+1
Revision of nasal tip
You should be able to safely shorten (turn up) the tip a bit without making the nose look too up-turned. Consider morphing/simulation to decide on your ideal angle
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