Can a nose derotation have a successful outcome?

If you have this problem and it is bothering you there is only one way of changing the appearance and that is through a revision rhinoplasty. So, as you know, you need to find a surgeon whose skill and photos you trust. Results, even in good hands can be hard to achieve in severely scarred or re-operated noses. As for photos, you may find that even experienced surgeons do not have many photos of the type you are looking for. Sometimes the photos can 'minimize' the actual result. Sometimes differences aren't significant enough and just aren't shown. A good substitute, if you otherwise feel good about the surgeon, is to look at primary rhinoplasties on patients with short noses, flattened tips and decreased nasal tip projection. Usually improvement of some kind can be attained. It will be important for your surgeon to set your expectations reasonably - honesty on the part of your surgeon will be very important for you. Also see at least 2-3 surgeons before making any decision.  Good Luck

Regarding: "Nose Derotation Successful?
ive read on here how difficult it can be to derotate a nose. the pictures i have seen of the procedure show minimal results also. i am considering getting this done, but would like some reassurance that this can be done with a good outcome. also if you have any pictures of a successful derotation please show them. thanks"

Derotating the nasal tip, or more descriptively put, the changing of a swine-like, full nostril demonstrating nose on forward gaze, requires the tip to be mobile, the skin to be supple and cartilage strip grafts to do the forward and down pushing and support.

Without a face to face examination, much less a single photograph, how can any ethical surgeon give you a blind assurance that anything would work in YOUR case?

See an experienced nose surgeon and learn what is applicable for you.

Good Luck.

Dr. Peter Aldea