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Very Unhappy With Rhino Results, Do I Need Another Surgery? (photo)

asked 5 months ago by oinina1 in Jacksonville
Latest answer by Richard W. Fleming, MD
Question viewed 717 times
Tags: crooked, 1 month post-op, drop, final result, scar tissue

My doc said it is only scar tissue the is not been hell yet, and I have to spray saline every 2 hours. but it fell hard,I notice it 4 days after surgery,its been 5 weeksand havent change that much.

18 answers to Very Unhappy With Rhino Results, Do I Need Another Surgery? (photo)

Unhappy after rhinoplasty, what can be done?

Hello, Swelling and other soft tissue changes along the tip of the nose take time to evolve after rhinoplasty. The skin is a little thicker in this area and months are required for it to shrink-wrap to the underlying framework. The skin over the bridge of the nose is very thin and reveals changes much earlier. I typically explain to my patients that it takes a full year for all of the swelling to be completely absorbed from the nasal skin. I... more

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon

Unhappy with Rhinoplasty Result

It loks like you have a deviated nose after the rhinoplasty. However, it is difficult to make any final decisions until more time has passed. Swelling will subside and either make some issues disappear and some more noticeable. It is likely you will need a revision, but ensure that you do you research to find someone experienced with revision rhinoplasty as this is a very complicated operation. Best of luck, Vincent Marin, MD San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon

Asymmetry After Rhinoplasty

While there is certainly significant columellar deviation/nasal asymmetry, and I suspect that it will not fully correct on its own completely, it is still only five weeks after surgery. While to the patient this seems like an eternity, it is really quite short in rhinoplasty time. You will need to wait six months to allow all swelling to subside and the tissues to relax more. While some improvement in appearance can be expected, it is a question of how much and whether revisional surgery... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Unhappy with Rhinoplasty Results at 5 Weeks

I feel some type of revision may be necessary, but it is very difficult to predict the final result because you're only 5 weeks post-op. We do not know how much of your problem is due to temporary swelling and how much is secondary to structural deviation. Patience is necessary at this time.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Very Unhappy With Rhino Results, Do I Need Another Surgery?

Five weeks after Rhinoplasty is way too soon to evaluate the results. Any Revision Rhinoplasty could not be done sooner than 6 months following the first and be sure your Rhinoplasty Surgeon understands and follows the proper aesthetics of facial (and nasal) beauty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Unhappy with rhinoplasty result.

Thank you for the photos. While 5 weeks is too soon to say what the exact end result of a rhinoplasty will be, it does appear your nasal tip is deviated and that your septum is bending into (and is visible) in one of your nostrils. This bent septum is likely the cause of your deviated nasal tip and another surgery will be required to correct it. Waiting till about 6 - 10 months after surgery will give the tissues time to soften so the revision will be easier. more

Jeffrey M. Darrow, MD
Boston Plastic Surgeon

Nasal Deformity After Rhinoplasty

Unfortunately, it does appear that you have a less than desired aesthetic result. However, the nose can take up to a year to stop changing after a rhinoplasty. Just be patient at this point since it has only been 5 weeks. I do not think that everything will magically correct itself and you will have a perfect nose when you are all said and done, but you really do not know how things will end up for at least another 2 months. At the three month mark after surgery, I... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Secondary surgery

You are still soon after your surgery. If indeed you need secondary surgery, you would be best served by delaying any treatment until all swelling has resolved and tissues are stable. This take about one year.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

Rhinoplasty Result

As others have noted, there is definitely asymmetry in your initial postoperative result. However, there will be substantial changes over the course of the next year and it would be a mistake to return to the operating room right now. Although it is very possible you may require a revision, it is not absolute.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Very Unhappy With Rhino Results, Do I Need Another Surgery? (photo)

Thanks for the posted photos. Very deviated post operative rhinoplasty result. Seek in person second opinions.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Poor Rhinoplasty Result: What's Next?

First, I agree, this is a disappointing result and it will not magically get better with time. The problem is that the underlying structural problems were not adequately corrected. You will need a second surgery. My advice is to wait for a minimum of 6 months before considering doing anything. You may want to get a second opinion. If you do, make sure that you choose a surgeon that specializes in revision rhinoplasty. This surgery is much harder... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

You have not yet achieved your final nose result--that will take 6-12 months! Be patient!

You do have some visible asymmetries, probably present before surgery, and incompletely corrected. You undoubtedly have swelling and scar tissue that has to soften and settle over the next many months, after which the nose will feel softer, return to normal sensation, and have gradual reduction of swelling. Appearance WILL change. So, be patient. You DO have scar tissue; your nose is incompletely healed, and it is much too early to be happy or unhappy a this point. Revision is always... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Unhappy after rhinoplasty

In the first picture it looks like you have a lot of nasal tip congestion, suggesting that there was a lot of vascular compromise. This will require that much more time for healing and scar maturation. You may need a revision if you are not happy but except in cases of severe disfigurement you should wait a full year before considering more surgery. I would be very apprehensive about more nasal surgery given the amount of congestion shown in the first picture: the blood... more

Daniel Greenwald, MD
Tampa Plastic Surgeon

bayshoreplasticsurgery.com

Rhinoplasty issue

Of course, it is always helpful to see the pre-op photos but the septal deflection and tip position is obvious. This sometimes is uncontrollable. You will more than likely want revision but you will have to wait about a year for thins to solidify and soften.

Steven Wallach, MD
Manhattan Plastic Surgeon

Twisted nose after surgery

Sometimes things do not heal as planned or expected. Revision procedures to improve the result are occasionally indicated. Your situation, I believe, should be carefully approached, meticulously planned, and as flawlessly executed as possible.

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Deviated columella after rhinoplasty

I can certainly see the asymmetry of the columella that you're concerned with. Without examining it in person it's hard for us to tell what factor(s) are leading to it. It seems to have evolved from your one week to two week photos especially so there could be a scar or tissue swelling component. Unless there's an infection it is normally best to give your nose time to heal so that it has stabilized so you and your surgeon have a better idea of the final result. more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Revisional Rhinoplasty

Sorry to hear about your experience. It does appear from your photos that the rotation of your nasal tip may be due to the deviation of your septum. To truly tell, I would need to see you for a formal consultation. To consider a revsional rhinoplasty, much of the swelling from the original surgery must be gone, and the tissues over the bridge of your nose should slide easily. If you feel comfortable with your original surgeon, I suggest you follow up with him. Otherwise, I feel you should... more

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon

Do I Need Another Nose surgery Surgery?

Unfortunately, you demonstrate rotation of the nasal tip most likely related to deviation of the frontal end of the septum. It appears your right nostril is partially blocked off by the process. IF this is the case (and without an examination) no one can tell, you will need another operation to attempt to correct it. Your surgeon is partially correct in feeling that it is too soon to call it but the amount of deviation does suggest that a formal revision MAY be needed.