Revision Rhinoplasty: Q&A
Ask a QuestionRevision Rhinoplasty for Severely Overturned Nose? (photo)
It's been 15 years since my original rhinoplasty. I am wondering if there is anything that can be done to lengthen my over rotated nose? Not only am I unhappy with the profile, as you can see from the front view, my nostrils are prominent and i have a hanging columella. How can this be corrected? Is it a difficult procedure? What can I expect the cost to run?
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12 Doctor Answers |
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Kiki03
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Revision Rhinoplasty for Severely Overturned Nose?
From the photos provided your nasal tip is severely over rotated. The nasal tip can be made to appear less rotated by combining a Columellar tuck procedure with some tip lengthening techniques during a Revision Rhinoplasty. You should have several consultations with experienced Revision Rhinoplasty Surgeons and IMHO, expect the cost to be between $10,000 - $15,000.
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Revision surgery to correct severe upturned nose
Yes, it is possible to improve your tip position and upturned appearance. This is complex surgery so you want to make sure your surgeon has experience treating this type of problem.
Cartilage grafting is typically required to reposition and stabilize the nose during surgery.
You can read more about upturned nose correction at my web reference link below.
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Revision rhinoplasty
Thanks for your inquiry
essentially everything you've been told thus far are the other physicians on Realself.com is accurate. You'll need a significant amount of cartilage grafting from your ear to extend the length of the nose, rebuild the mid-vault of your nose and make it straight again on profile, and the rotate the tip and nostrils. I think the one limitation you'll see from any surgery you get is that the nostrils may continue to have a certain amount of flair from...
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Correcting the over-resected, over-rotated nose with revision rhinoplasty
Your nose can certainly be improved with a revision procedure. The tip of your nose has been significantly over-rotated (pushed up), and so a septal extension graft will likely be needed to push it back down to a more attractive position. By pushing the tip of your nose down (counterrotation), it will reduce the prominence of your nostrils from the front. Based on your pictures, you will need quite a bit of cartilage to reconstruct your nose, so rib cartilage harvest is...
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Revision rhinoplasty
Improvements can be made with a revision rhinoplasty. Grafts can be used to improve the appearance of your nose, and it would be best to seek the advice of a board certified revision rhinoplasty specialist. He or she may use computer imaging software to give you an idea of how the final result may appear. Cost of a revision can vary depending on the individual circumstances of the patient. Look for a board certified surgeon who has great patient testimonials and many before and after photos,...
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Over rotated tip
It does not look like you have a hanging columella. You have an over-rotated tip and grafts would be needed in an attempt to derotate it. Good luck.
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Rhinoplasty to Lengthen Nose
The nose can be lengthened to rotate the nasal tip downwards to create a more natural appearance by using cartilage from your own body. By doing so, the appearance/location of the columella will also usually be improved as will your nostrils. While revision surgeries are always more extensive than primary ones, you want this to be your second and last surgery, so finding the right surgeon who shares your aesthetic goals and eye with the most advanced surgical techniques is...
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Revision rhinoplasty
This can be correct, but it will require extensive grafting. Typically, this will require cartilage grafts from your ear or rib to lengthen and de-rotate your nose. Your surgeon should be experienced in revision rhinoplasty surgery. You will need to spend a significant amount of time reviewing your expectations against possible surgical outcomes. Good luck with your search.
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Revision for Severely Over-rotated Nose
This problem can be corrected with cartilage grafts but it is a difficult procedure. I encourage you to have the surgery as long as it is done by a revision specialist.
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Revision rhinoplasty
You have described yourself well. You do have a shortened over rotated nose with a lot of nostril show. All of these problems are correctable with a revision. A variety of techniques including the use of cartilage and possibly composite grafts will be necessary to correct this. You need to have consultation with rhinoplasty surgeons that are experienced with this kind of problem and do it regularly. Ask to see photos of revision patients like yourself and see how they came out. ...
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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.
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