What is my Best Option for Revision Rhinoplasty? (photo)

It was originally broken in a sports accident. I had emergency surgery done by ENT, the bridge collapsed post surgery and had surgery 2 shortly after. It was still crooked and breathing wasn't right so I had 3rd surgery to fix this and my nose looks worse than when it was originally broken. All 3 surgery done by same ENT. What can I do to get it straight and normal looking again? Bruising under eyes never went away from last surgery. Broken blood vessels around nose now.

Doctor Answers (4)

Best option for revision rhinoplasty

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A fourth rhinoplasty is always much more complex than the first.  Hopefully there is enough cartilage within the nose for grafting purposes.  The concaved side of the nose appears as though the upper lateral cartilage has been fractured off the nasal bone and will require a spreader graft.  Both medial and lateral osteotomies will be performed to straighten and realign the nasal pyramid.  This will get the nose looking straight and normal again.

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Septum Re-straightened and Supported

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Your nose is still extremely deviated and that is possibly what is contributing to your breathing difficulty.  Essentially you would need to be examined to see multiple views of your nose and come up with a surgical plan.  Based on the photo and your description I would suggest having your septum straightened and supported with a cartilage graft.  Cartilage can be taken from the nose, the rib or the ear depending on what is available.  Probably would need an open rhinoplasty, which is done with a small incision made on the bottom of the nose, which no one can see.  Again, it would be best to schedule an appointment to review in person.

Scott Chapin, MD
Philadelphia Plastic Surgeon
4.0 out of 5 stars 6 reviews

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