Can the Patient Choose an Open or Closed Revision Rhinoplasty?

I had rhinoplasty 38 years ago and hated it. started radiesse 3 years ago, still hate it. it wasn't till i started the radiesse did i realize the extent of how twisted it was. i thought it was just the tip but the doc injected the side bridge to straighten it out. tho' i would love to have it completely redone and perfected i am afraid i will be bad luck with the best doc. can i request a little tweaking on the tip without it being carved out, pinched and nose job looking?

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9 Doctor Answers | Asked by chihuahua in orange county, CA

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Revision Rhinoplasty

The best way to achieve the results you seek is to have a thorough and detailed consultation. The issues you describe (pinching, carved out, unnatural appearance) can all be avoided in the hands of the right surgeon. Make sure that he/she is up to date with the latest advanced techniques to avoid the issues you fear.

Revision rhinoplasty (perfect nose)

Revision rhinoplasty can sometimes be incredibly difficult and unpredictable, or sometimes surprisingly simple with outstanding results. This is what makes the procedure addictive for facial plastic surgeons. Having an experienced surgeon with whom you are comfortable is arguably the most critical factor for you. Do not be surprised however if you visit 5 different surgeons, and get 3-4 different recommendations- they each make recommendations based on what they know will... more

Revision rhinoplasty nose job

Your nose has been through quite a lot and I believe you must proceed with caution to avoid a too-operated look. Certainly the surgeon should take your preferences into account and I am glad to hear that at this point you want a little and not alot done. Still ultimately the doctor must do what he or she believes is the best operation or treatment. So it is always a conversation and a joint decision between the doctor and patient. Revision rhinoplasty is the most difficult of all cosmetic... more

Open vs Closed Rhinoplasty

Pick the doctor, not the technique.Select an experienced surgeon who will will evaluate your nose and discuss alternative treatments so your expectations are clearly defined. Minimal changes can be made if that is your goal. You are right - it must look natural. Choose carefully because there is a risk of severe complications with revision rhinoplasty in noses previously injected with Radiesse.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision rhinoplasty

It's not the approach that counts but the end result. If your doctor feels comfortable with closed techniques and thinks he/she can deliver the result you desire this way then go ahead. If he/she feels that an open approach would provide a better chance of getting you the nose you want then accept it or seek surgeons who only do closed procedures.

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Can the Patient Choose an Open or Closed Revision Rhinoplasty?

Yes, patient can ask for the closed rhinoplasty but it depends on the surgeon if he feels comfortable with this technique. Also, the more complicated the problems are, the more likely you will have a better result with open technique as it is possible to do certain maneuvers that are hard to do with closed technique specially if the tip needs to be worked on. I also noted that your nasal base is rather wide. Don't know if you are smiling or not.

Open vs. Closed rhinoplasty

You can choose what type of surgery you want done on your nose but a thorough discussion with a surgeon experienced in revision rhinoplasty is in your best interest. Cartilage grafting can help to achieve a more natural contour to your nose and avoid the operated look. It is essential that you also discuss any breathing problems that may have resulted from your previous rhinoplasty.

Choosing open versus closed rhinoplasty

You can certainly request what you want done to your nose. You don't have to have areas of your nose changed if you dont' want to. That being said I wouldn't push your doctor to use an operative approach that they wouldn't otherwise recommend in your case. To address the tip pinching you have currently, revision surgery can be done. Cartilage grafting can be used to improve the tip contours aesthetics. Visit with an experienced revision rhinoplasty surgeon to see what... more

Nasal revision

You can request anything you want weather it will be feasible to accomplish what you request is a different matter. As an aside Radiesse in the nose may be problematic when a secondary rhinoplasty is performed.