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Too Much Curve Post Rhinoplasty

asked 1 year ago by unhappy00001
Latest answer by Mark B. Constantian, MD
Question viewed 1,870 times
Tags: bridge, nose tip, female, bulbous, curved, swelling, worried

6 Month Post Op Rhinoplasty-Still Waiting to Hear from my Surgeon, but Expert Opinions Would Be Really Appreciated, Many Thanks. The results of my op are affecting me really badly.I feel embarrased and am losing my self confidence.My bridge was quite straight before with a small hump(that didn't bother me much). I felt quite attractive apart from the tip (large and bulbous/boxy - this really bothered me ONLY from the oblique angle though).Now I feel the bridge is too low/curved, there is strange swelling along the bridge & under the nostrils?? The appearance is generally not good at all and I'm very worried.Please help!

17 answers to Too Much Curve Post Rhinoplasty

Too Much Curve Post Rhinoplasty

You should be disappointed with your result. You have You have a scooped out profile with a pinched, asymmetrical tip and nostrils. Wait another 6 months before having surgery with a very experienced revision rhinoplasty surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revisional Rhinoplasty Will Require Cartilage Grafts

It is clear based on your photos that you have had too much cartilage removed and/or there has not been adequate cartilage support placed during the procedure. This has resulted in an inward sloped dorsum and an over-rotated tip which, while acceptable to some patients, is not acceptable to you. Since you are six months after surgery, this result is not going to improve and secondary revisional rhinoplasty must now be entertained. This is going to require an open rhinoplasty with... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Too Much Curve Post Rhinoplasty

This is typical of some closed rhinoplasty in which too much cartilage is removed without cartilage grafts for support with subsequent alar retraction after a year or so causing columellar show. Fortunately, an experience revision rhinoplasty surgeon can correct these problems. Make sure you see several before and after revision pictures before committing to surgery.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Aesthetics and tip support

No one can judge whether your bridge is too low but you. Some patients would be happy with your height--it is not distorted. But if it looks too low to you, you can have a careful cartilage graft placed someday. Your tip cartilages have been reduced to narrow your tip--a standard rhinoplasty step. When cartilages are strong like yours, they have significant built-in internal stresses, and often cannot keep their shape if their dimensions have been altered too much. That... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Too Much Curve Post Rhinoplasty

In my opinion, you have a bit too much rotation and projection. On profile this accentuates a slightly over-reduced bridge. It might be possible to relieve some of the tension on the tip and make the bridge look relatively stronger. It is hard to tell by the pictures, but it looks like you might have a too-prominent tip graft that could be reshaped or removed. I would actually still wait at least a year in case other issues become apparent that might need to be addressed... more

Matthew Bridges, MD
Richmond Facial Plastic Surgeon

www.matthewbridgesmd.com

Attempt to resolve issue before seeking new surgeon

I understand that you are disappointed with the results of your Rhinoplasty and are here seeking advice but honestly, I feel it's unprofessional and even unethical to give you advice while you are still under the care of the plastic and cosmetic surgeon that did your Rhinoplasty. Is your nose perfect? No. Should you continue your relationship with the original plastic and cosmetic surgeon in an attempt to resolve this issue? Yes, IMHO. You do have some... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Scooped out nose after rhinoplasty

I agree that there are a few aspects of your nose that could be improved with a revision rhinoplasty procedure. It's hard to comment on what has changed since surgery without knowing what your nose looked like before surgery. There is quite a bit of pinching to the tip of the nose along with some asymmetry. There also appears to be retraction of your ala (causing more of your columella to be visible from the profile view). The nasal tip seems to be somewhat over-rotated (presumably a... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Rhinoplasty revision

Honestly, the amount of slope is a matter of preference. And without knowing what was discussed prior to the procedure I don't think it's fair to say whether the result is good or bad. It really depends on what the goal of the procedure was. I do see some issues with the tip and the columella and if these things bother you as well as your slope I would discuss this with your surgeon. But these types of things can always be improved with a revision if you go to someone with experience... more

David E. Kim, MD
Beverly Hills Plastic Surgeon

You may be a candidate for a Non-Surgical Rhinoplasty to raise the height of your bridge after previous surgery. Video attached.

I read your concern and reviewed your photos. Your bridge has a gentle feminine curve that looks acceptable. If you would like your bridge raised to provide a straighter appearance, you may benefit from a well-performed Injectable Filler treatment. In my practice, we could try a non-surgical approach for reducing excessive nostril-show and improving minor tip irregularities. My personal preference is to use Silikon-1000, an off-label filler for permanent results. In my view, you should leave... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Too Much Curve Post Rhinoplasty

Your nasal tip is still boxy with asymmetrical nostrils and foreshortened nose. This can all be addressed with a revisional surgery.

Erel Laufer, M.D.
Tampa Plastic Surgeon

Surgical looking rhinopasty.

You should be disappointed with your result! You have multiple issues and need to see an EXPERIENCED revision rhinoplasty surgeon to reconstruct the scooped bridge, pinched and asymmetrical tip, nostril asymmetry, etc.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Too Much Curve Post Rhinoplasty

The photos tell it al. What might be a great result to someone is an unacceptable to another. Best for you to see a few in person surgeons to describe your issues in detail. I might try a filler to slightly increase the bridge and sides.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty regrets

The difficulty in rhinoplasty in is understanding patient goals or expectations, and in all of cosmetic surgery, an appreciation of aesthetics or what looks right. Perhaps twenty years ago your result is very typical of a good result after rhinoplasty, upturned, slight scoop and projection of the tip above the bridge, tight thin tip. Aesthetic appreciation today has moved away from this ideal. To many your result may look too much like a rhinoplasty, and not a more natural nose.... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Considering Revision Rhinoplasty 6 months after Original Surgery

Hi unhappy00001, Thank you for sharing your photographs. Rhinoplasty is not one operation, but many potential operations. Every patient is unique. A great result for one person may be unacceptable to another. 6 months is still relatively early to have revision rhinoplasty. Most plastic surgeons would suggest waiting a full year. If you haven't already, speak with your original rhinoplasty surgeon. Seeking a second opinion from another local surgeon may also help your... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Post-rhinoplasty issues

I spend a lot of time with patients to go over what type of result they are looking for. The dorsal profile is very important to reveiw. Some patients prefer a low dorsum while others like it straighter. As for your specific concerns a review in person with an exam would be important.

Steven Wallach, MD
Manhattan Plastic Surgeon

Scooped out nose

There are definite issues with your post operative nose. I would be curious to find out what discussions you had with your surgeon before the surgery, especially about the over overressected hump. In my practice, I try very hard to make sure that the patient understands what we are trying to achieve and that the results make sense. Fortunately, your issues are correctable and that going to an experienced revision rhinoplasty surgeon is your best bet.

Bhupesh Vasisht, MD
Voorhees Plastic Surgeon

Too Much Curve Post Rhinoplasty

6 months after rhinoplasty you will still have swelling. However , from looking at your photos submitted it appears that indeed excess was taken off your bridge, thus the "ski slope" appearance. There are other issues, such as the width of your bridge from the front view-which is too narrow and may start impairing your breathing. Also there appears to be signs of collapse on the side walls of the tip, as maybe too much cartilage was removed. As the swelling continues to... more