Revision Rhinoplasty: Q&A

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Does my Nose Look Normal? 1.5 Years After 2nd Rhinoplasty? the 2nd One Was a Minor Retouch.

I have had 2 rhinoplasties. Initail surgery to shave a small bump. 2nd surgery to shave a little bump of cartilage that was left on the lower part of the nose. It has now been 1/2 year since the 2nd op and I feel as if the right nostril seems to be sinking in. I really hope I am only enumerating and that my nose is okay. Will it keep changing from this stage on? I am really worried and I do not want to go through with this again.Does profile seem normal? Am worried of my nose collapsing

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9 Doctor Answers | Asked by UK123. in London

Doctor Answers (9)
Community Comments (2)

Healing from revision rhinoplasty

The final result of a rhinoplasty is not evident for 18-24 months following surgery, and you will be closer to the two-year mark if it is a revision. At 6 months post-op, you still have some healing to do. In general, it is important to be patient during the healing process. In the meantime, I would recommend communicating any concerns with your surgeon, as he/she knows the extent of your initial procedure and exactly what was performed. I hope this helps. and I wish you the best of luck! more

Watchful waiting for Revision results

After any rhinoplasty procedure the fine details take a long time to appear. It takes many months for the soft tissue (skin and subcutaneous parts) to shrink around the cartilage skeleton. In primary cases this takes at least a year, and in revisions probably 2 years. You must be patient and consult with your surgeon from time to time to make sure it is progressing as expected.

Hello

It looks like you have great results from your surgeries. If you are so concerned you need to talk to your PS and review all your concerns.

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Before + After Photos

View 497 Revision Rhinoplasty photos

Rhinoplasty

It is difficult to determine your situation based on the photographs you have provided.The nose continues to change for an extended period of time after a rhinoplasty.The changes are even slower is a secondary rhinoplasty.

Nose changing 6 months after revision rhinoplasty

Your nose will continue to change after rhinoplasty for probably 8-14 months as the scars inside mature and the final bit of swelling disappears. In your pictures things look pretty normal, but is is hard to say without better and more complete photos what might be out of balance. A series of photos over time would also help determine how things are evolving. See you surgeon again and ask to see a portfolio of your pre- and post-op pictures, and see if you can get a series... more

Does my Nose Look Normal? 1.5 Years After 2nd Rhinoplasty? the 2nd One Was a Minor Retouch

When the patient has the second operations, it is necessary to wait more time because you have swelling longer.

Changes after Revision Rhinoplasty

After any rhinoplasty procedure, there is low grade swelling of the soft tissues for about 12 months. This typical swelling and wound contraction can be prolonged even longer than 12 months after a revision rhinoplasty procedure. Subtle changes in both appearance and function can occur for a few years after the procedure. It is difficult to comment on the photographs you have provided, but it does not appear that your nose is collapsing from the shown pictures. Your profile... more

It's difficult to evaluate your Revision Rhinoplasty results with the photos you posted.

On front view, I cannot appreciate the "sinking in" of your right nostril. Your profile appears straight. Feel free to re ask your question with full-face photos and a clear description of your concerns. Dr. Joseph see video

Eric M. Joseph, MD

204 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Good Result

Everything looks pretty good from the photographs you have posted. Please remember that our facial apperance can change a bit as we age. The nose will often elongate and begin to drop in males and this can be normal with age. Your nasal appearance is very good. Your nostril does not appear to be collapsing in the static view. Have a Happy Thanksgiving. Best, Gary R Culbertson, MD, FACS

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Comments (2)

UK123.
19 Nov 2012

Thank you all so much for the replies. I am sorry to be a pain but for eg. If I was your patient would you say I need any sort of revision? My surgeon told me, before my 2nd op, that i have very very thin skin and that even during only the 2nd minor adjusment, there was a chance of my skin ripping and leaving a scar on the front of the nose. He ealso said I have a very delicate nose. Thewrefore I really do not think I could have any further changes. And also by this time, as it has been almost two years, do you think that I am at my end result? I did notice a change since last Christmas, I can tell by the pictures i have taken. And is it normal for the nosy to be puffy in the mornings? or when it gets very warm?apart from then I do not feel that I have any more swelling in the nose....any sugesstions? thanks

UK123.
18 Nov 2012

Just wanted to add, people do not seem to recognise anything that I think I can see. And if I at least knew it wont keep changing and getting smaller from this stage, I guess I could live with it. I am just tired of waking up every morning to see if its getting worst. Its been exactly 1 year and 9 months since the 2nd minor op. any comments??

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