What Can Be Done to my Bulky Nose in a Revision Rhinoplasty? (photo)

I had a closed rhinoplasty 7 months ago. I am unsatisfied with my results. My nose is too bulky. The sidewalls of my nose are too thick and wide. I wish my nose could become thinner, the tip more pointed and the dorsum more curved. To what extent are my expectations realistic? What other resolutions do you recommend? Do I need a revision in the first place? How bad or good are my results? I also don't breath well and my surgeon has no explanation to that.

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4 Doctor Answers | Asked by Chantal L.

Doctor Answers (4)
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Improve bulky nose with revision rhinoplasty

There are many ways to narrow or debulk the nose with rhinoplasty. It would be helpful to see your initial preoperative photos but I suspect that more could be done. Your nose may still heal further for a few more months. From the photos you've shown I do get a sense of some supra tip fullness than could be refined further. This could be persistent swelling, residual septal cartilage or scar tissue. It may also be possible to narrow the tip cartilages which could help create the tip... more

Correcting a 'Bulky' Nose with Revision Rhinoplasty

So much can ride on the expectations of a patient having Rhinoplasty. Hopefully your hopes and the surgeon's ability to set expectations coincide. However your surgeon may have done exactly what he thought you wanted and may be happy with the result, even though you are not. At this point I would recommend waiting it out for a year from the date of surgery before attempting any revisional surgery. At that point it would be important to know what was done to the nose during the first... more

Revision Rhinoplasty

I suggest you wait another 6 months before making any decisions about a revision. You do have thicker skin so your result may improve over the next few months. Your criticisms are appropriate and I do feel it would be reasonable to expect improvement with additional surgery.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision rhinoplasty

First, I would say that you result looks very natural. Second, I think that you have to wait at least a full year before undergoing a revision. Third, your tissues appear fairly thick so to have thin nostrils or a very thin tip may be difficult to achieve. The dorsal line can be lowered if that bothers you.