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Is It Possible to Have a Revision Rhinoplasty to Break Down the Bone and Restore the Size of a Previously Augmented Nose?

I underwent a rhinoplasty surgery a year ago for a deviated septum where the surgeon increased the nasal bridge height by performing an osteotomy which served to also lengthen my nose. I thought a straighter nose would have an improved cosmetic appearance. The outcome is not at all what I wanted or hoped for. The bigger nose now interferes with upper lip function for smiling and speaking.

Doctor Answers (5)

Is Revision Rhinopasty Possible

+1

Over the past 35 years I've rarely seen a patient who could not have a revision rhinoplasty. I need to see pictures so I  can make recommendations and establish reasonable goals for you.


Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Revision rhinoplasty question

+1

Dear Pepper123,

  1. If the bigger nose interferes with upper lip function, it could be that a graft was placed in the columella limiting the smile
  2. I would seek out a revision rhinoplasty expert because these cases can be even more complex than the original surgery

Best regards,
Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Revision rhinoplasty

+1
  • It is almost always possible to revise a nose , however, it is a more complicated procedure than the first time around and will require an experienced surgeon who does quite a number if them. Be sure to bring the operative note with you to the consultation so the surgeon can review what was done.  

Grady B. Core, MD
Birmingham Plastic Surgeon
5.0 out of 5 stars 2 reviews

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Is It Possible to Have a Revision Rhinoplasty to Break Down the Bone and Restore the Size of a Previously Augmented Nose?

+1

Many thanks for the question. I wish you posted some pictures. I find it impossible to help you without any images. Wish you good luck.

Ashok Govila, FRCS, MCh, MS
Dubai Plastic Surgeon
5.0 out of 5 stars 43 reviews

Revision rhinoplasty

+1

It is difficult to render an opinion or even suggest a treatment without physical examination or at least reviewing some of your facial pictures. However, based on your descriptions you may had a columellar strut graft that is possibly changing your lip to nose ratio.  It would be better that you post photo of your nose for evaluation. You may be qualified for a revision rhinoplasty.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.