Revision Nose Surgery and How Far Can I Expect to Reshape and Fixing the Function

Dear Doctors I had a nose surgery 3 years ago and now I have running problem mostly and If I tape it hard on the middle part of the nose i can breath easier ,why ?? Am I able to do the following: 1-narrowing sides and front 2-reduce nostrails show 3-symatrical 4-no bump on the tip 5-fixing function is it covered by OHIP, health card i have attched photos of nose before and one after photoshop please give me your idea, price if i can afford, in L.A and Toronto yours

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6 Doctor Answers | Asked by Elie.moun in Toronto, ON

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Composite grafts fix high nostrils

When the skeleton is reduced, things change. Your breathing is worse because your bridge was reduced and so your internal valves have been weakened. That is why pulling the sides out helps. Breathe Rite strips would help also. New airway obstruction after rhinoplasty often happens but is avoidable and correctable. Your nostrils can be lowered by placing "composite" grafts of cartilage and skin from one of your ears into incisions in the insides of your... more

Realistic expectations with reshaping

The sides of the nose can be narrowed by moving the nasal bones closer together. The tip would have to be narrowed as well, most likely through an external rhinoplasty.

Revison Rhinoplasty goals for you.

From the photos, it appears that the nasal bomes are wide due to an open roof deformity and there is excess scar tissue over the nasl tip and supra tip making it appear wide and thick. This would, IMHO require a revision closed Rhinoplasty with medial and lateral osteotomies to narrow the nasal biones and move them closer together in the midline. The tip could be thinned using a retrograde tip plasty technique to remove excess scar tissue and residual tip cartilage (if any)... more

Breathing problem may be related to collapse of the nostrils (i.e., nasal valve) during deep inhalation when you exercise

Your breathing problem may be related to collapse of the nostrils, otherwise known as the nasal valve, during deep inhalation when you exercise. This may be related to your excessive nostril “show” if the remaining cartilage along the edges of the nostril is either weakened or deficient. This can be corrected by placing cartilage along the edges of the nostril, to act as a strut or support for the remaining cartilage that you have in place. A cartilage graft... more

Revision rhinoplasty to improve shape and function

The long list of issues you have with your nose can all be addressed, as well as improvement in the internal valve to correct the pinch in your airway. The photo-shop work you have will help your surgeon to understand what you are looking for the second time around. Secondary rhinoplasty take a good bit of experience so choose carefully. Best of luck, peterjohnsonmd

Nasal obstruction and poor aesthetic result after rhinoplasty.

Nasal obstruction and poor aesthetic result after rhinoplasty can be repaired with all of the items you mentioned but the nose will be improved not perfect. The septal deviation and narrowness can be improved as well as your nostrils, pinched tip, middle vault narrowing, etc. Make sure you see an experienced rhinoplasty surgeon since your nose is requires advanced rhinoplasty techniques.