Rhinoplasty: Q&A

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What Will Be Involved in my Rhinoplasty Revision? Are my Problems Fixable? (photo)

Had rhinoplasty 1 yr & 3 mths ago, & a small in-office revision to lift the tip a bit. After viewing my pics, am I a good candidate for revision and if so, what can be done? My PS says the risks of scarring outweigh the chance of getting a better result. I am looking for another opinion. I do not like the asymmetry of my nostrils, the left side seems flared, and the tip seems too big. I worry I also have scar tissue. Could you help me define the problem and suggest possible solutions? Thank you!!

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11 Doctor Answers | Asked by jaime34 in Atlanta, GA

Doctor Answers (11)
Community Comments (0)

"Am I a candidate for revision rhinoplasty?"

While your dorsum looks good, your tip is definitely asymmetric. It is tilted to the left side, the tip cartilages are positioned in an uneven fashion causing asymmetry at the dome area and columella. On the profile view, your tip would benefit from more rotation which would improve the nasolabial angle and make the nose appear slightly shorter. part of the problem may be that your septum is still deviated to the right side contributing to the tip asymmetry. To sum it... more

What Will Be Involved in my Rhinoplasty Revision? Are my Problems Fixable?

Aesthetically speaking the nasal tip is asymmetric, the columella is crooked and the nasal tip is under-rotated. An open Revision Rhinoplasty or rather a Tip-plasty with a conchal cartilage ear graft to strengthen and refine the nasal tip would be advised. Hope this helps.

Revision rhinoplasty can be done

There certainly are some cosmetic irregularities to your nose that can be addressed. It is somewhat hard to give complete answers based on your photos, but your nostril are asymmetric and your septum deviates to the right. A review of your prior operative report can tell which, if any grafts were used and thus can be used to give you a better cosmetic result.

Is Improvement a Reasonable Expectation with Revision Rhinoplasty

In the hands of a revision rhinoplasty specialist the deviation of your septum and the asymmetry of your tip cartilages can be corrected. Go to my website for instructions on how to take pictures for nasal evaluation so we can make a complete visual analysis of your appearance. I see many patients with similar problems after their original surgery and encourage you to consider a revision.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty revision

Your posted photos do not allow full assessment of the bridge. The frontal photo is cut off below eye pupil level so the degree or type of septal deviation is not clear. The issues with the tip though are clear in your posted photos. It appears that your previous rhinoplasty was an open one as there is a stair step scar on the strip of skin between the nostrils (columella). The tip is currently asymmetric with the left tip cartilage kinked at the upper inner edge of the left nostril and... more

Revision rhinoplasty

Yes, after a year your tissues should be soft enough to be able to undergo a revision to correct your nostril asymmetry and correct your caudal septal deflection. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Revision Rhinoplasty Required

Dear Jaime, At 1 year and 3 months, you are in the clear for a corrective MULTIFACETED procedure of a delicate nature. So it is important that you choose a board certified surgeon of extensive experience to have the best shot obtaining optimal results. You certainly can benefit from an adjustment targeting your septal deviation and your nostrils asymmetry. Also, you will need to have your overprojected tip reduced. Thank you for your inquiry and sharing your photos... more

Revision rhinoplasty needs

There are several things that can be done to improve your result. You appear to have a caudal septal deviation making your nostril asymmetric and columella shifted. This can be straightened. You tip is very overprotected relative to the length of your upper lip. This can be set back which will give you a sense of "reduction". You will need alar reduction as well to accommodate the set back. While there is always risk of scarring with revision rhinoplasty, all these maneuvers are relatively... more

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Revision questions

The most important thing you should consider regarding a revision rhinoplasty is an "Open Rhinoplasty" performed by an experienced Cosmetic Surgery after full consultation.

Revision Rhinoplasty for Asymetric Tip

Hi, I do think your a candidate for a revision rhinoplasty. You have an asymmetric tip because your lower lateral cartilages are asymmetric. The medial crura of the right lower lateral cartilage is deviated into your nostril and your left medial crura is over-projected. It also looks like you had a stair step incision rather than an inverted V incision for your 1st open rhinoplasty. That may have caused some issues with the mid-collumela as far as healing. Either way you are a candidate... more

Revision rhinoplasty options

Revision rhinoplasty could be considered to improve the asymmetry of your nostrils and to reduce the prominence of your tip. Your nostril asymmetry may be related to a deviation of your septum in that area, but this could be address during revision surgery. You would want to find a surgeon who is comfortable in doing revision rhinoplasty cases like this. It is more complicated than initial surgery, but an experienced surgeon should be able to help you.