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Two Revisions to Fix my Tip and It Looks Even Worse. Can my Nose Be Fixed?

asked 1 year ago by BostonNose76
Latest answer by Sam Naficy, MD
Question viewed 216 times
Tags: tip

My first surgeon destroyed my (very nice, I thought) tip during open rhinoplasty to remove a bridge bump and fix a deviated septum. He tried to revise it using ear cartilage, but it remained under-projected and blunt. Now I am 4 months post op from a closed revision with another surgeon, who used rib grafts to build up the tip and fix a scoop. The rib warped and now I have a crooked nose and a large, round tip. I am scared to have a 4th surgery, but I hate my nose. Is there hope?

7 answers to Two Revisions to Fix my Tip and It Looks Even Worse. Can my Nose Be Fixed?

+1

Revision Rhinoplasty is a quantum level more difficult

Oh, I am so sorry to hear this.  Yes, rib cartilage, banked cartilage and bone in IMHO all have the potential to warp or dissolve unevenly and I don't use them in Rhinoplasty or Revision Rhinoplasty and haven't for over 20 years.  Revision Rhinoplasty is a quantum level more difficult, than primary Rhinoplasty because often to much cartilage or bone has been removed previously, things are asymmetric, support is lost, there's excess scar tissue and the nasal tissues... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Another revision surgery

Sorry to hear about your experience - the good news is that there is a solution to your problems.  Wait the appropriate time period and seek an experienced rhinoplasty surgeon, preferably someone doing 200 rhinoplasty procedures per year and with at least 10 years of experience
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Poor Nasal Tip Despite 2 Revisions

Despite your previous unfortunate experiences, in the hands of one of the elite revision rhinoplasty surgeons in the U.S., you can achieve improvement in your nasal tip. Warping is a possible complication when using rib cartilage. Wait at least a year; the tip swelling will improve - you're only 4 months post-op.  
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Repairing revision rhinoplasty results

A lot can be done with revision rhinoplasty techniques to fix your nose. It is important to select the right surgeon. In your case you need one with experience with complicated revision cases and cartilage grafts. Rib cartilage can be removed and recarved if needed. Your tip concerns cal also be address, although I would wait at least a year from your most recent surgery before proceeding.
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

www.drlamperti.com

+1

Rhinoplasty revision

A rib graft can warp and curve. SOmetimes it is as simple as taking the graft out and correcting the curvature.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Two Revisions to Fix my Tip and It Looks Even Worse. Can my Nose Be Fixed?

Yes, you have hope. Don't  focus so much on the procedure, but on the surgeon.  Without photos it is hard to comment, but your chances of getting a good resolution are improved if you find the right surgeon. Concentrate on an experienced rhinoplasty specialist. Did your previous surgeons concentrate their practice to rhinoplasty? and if so, did they have enough experience with rhinoplasty surgery? There are many surgeons with these qualifications, interview them and... more
Michel Siegel, MD

Houston Facial Plastic Surgeon

houstonfaces.com

+1

Best answer for your Revisionary Rhinoplasty dilemma

Unfortunately, this is a relatively common situation.  Noses can sometimes heal in unpredictable ways.  A solution is possible.  In my experience, the best approach for your situation is a revision with the open approach, since the original was an open approach.  Also because the best access to the tip is achieved by the open approach.  Rib graft may or may not be the answer on the revision (if it is then your own rib is ideal).  You may have enough cartilage in... more
Leif Liu Rogers, MD

Beverly Hills Plastic Surgeon

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