Revision rhinoplasty - have I had too many nose jobs?

I had 2 previous nose jobs when I was 18 and again at 20 I am now 37 and would like to shorten the tip of my nose but it seems the previous doctors left a hole between the nostrils inside. In other words, from what drs. have told me, there is no cartilage to hold up the tip to get it shorter.
Can you help me? Is there a way of correcting this and so there is no longer a hold from one nostril to the other.
Many thanks for anything you can suggest.

5 answers to “Revision rhinoplasty - have I had...”

A: Revision Rhinoplasty

C. Spencer Cochran, MD

There are many factors that determine whether or not patients are good candidates for secondary (revision) rhinoplasty. The number of prior surgeries is less important that the quality and characteristics of the nasal skin, framework, and the amount of scar tissue present. Other factors include the extent of... more

A: Revision Rhinoplasty

Steven Wallach, MD

Your question is difficult to answer without examining you.  A hollow between your nostrils sounds like a septal perforation. In terms of the tip shortening request, it would be difficult without examining you. In general, each revision becomes more and more difficult because of thinning tissues, and lack... more

A: Rhinoplasty revision can be very safe

Sam Naficy, MD

  There are a number of reasons why patients seek a secondary (revision) rhinoplasty procedure. In certain situations, the initial procedure may have not fully corrected the undesirable features of the nose. In other situations, the initial rhinoplasty may have actually resulted in certain... more

A: Revision rhinoplasty is a discipline all and of itself...

William Portuese, MD

Revision rhinoplasty is a discipline all and of itself and is an extremely difficult operation to execute. After each surgery the nose goes through a healing process. Unfortunately, with each subsequent surgery the healing becomes less and less predictable. It is best to keep the number of nose jobs at a... more

A: Revision rhinoplasty

Stella Desyatnikova, MD

We do many revision rhinoplasties, and they are sometimes indeed extremely complex. Sounds like you have a septal perforation, perhaps, and a droopy tip. The first thing you need to do is to see an experienced facial plastic surgeon and discuss your problems and expectations. Usually we can get cartilage from... more

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