Will Getting Rhinoplasty for the Third Time Be Possible?

In general, I counsel patients who seek me for opinion on revision rhinoplasty as follows:  While it may be possible to make your nose straighter, it is unlikely that *any* surgeon can get such a nose perfectly straight.  The reasons for a crooked nose are quite complex and may involve a number of issues, from asymmetries of the entire facial skeleton to isolated nasal asymmetries.  The treatment for this is highly individualized and would require a personal... more

First of all you can have another revision. I'm not going to suggest techniques. the most important question is not what is done, but who does it . Find a rhinoplasty surgeon who is very experienced in revision work. Ask for multiple before and after pictures of other patients. It might be helpful to get more than one consultation. Do your homework. Good luck!

Having a rhinoplasty the second or third time is very complicated and one has to look seriously at this because one can only have so many rhinoplasties before needing significant nasal reconstruction. I would definitely seek a Board Certified Plastic Surgeon that has significant expertise and experience in secondary and tertiary rhinoplasty procedures because these are completely different operative procedures that require additional experience and judgment.

You may need revision rhinoplasty that addresses the bony and cartilaginous septum of the nose.  Simple cartilaginous tip work will not correct the problem.

Each time a nose is operated on, it becomes more difficult. And therefore the success decreases and the goals of surgery are lowered. The first time is the best time. That isn't to say revision surgery can't be successful. Its just more difficult and takes longer. This is reflected in the cost. A primary nose job usually takes between 1 to 2 hours, while a revision takes between 2 and 5 hours. There are outliers, minor 'touch ups' or complete complex nasal reconstructions... more

Revision rhinoplasty is definitely more challenging than primary - or for that matter, secondary- procedures, but these are procedures in which I specialize. Given that it has been 2 plus years since your last surgery, this is sufficient time to allow for healing and therefore help to reduce the risk of complications, in particular poor healing and scarring of the skin. I will tell you that you really need to make sure that this procedure gets done correctly, to finally achieve the... more

When a patient has had a previous rhinoplasty or several previous rhinoplasties the next rhinoplasty can be exceedingly difficult. This is because the surgeon not only needs to perform techniques to help you meet your aesthetic goals, but must also battle the scar tissue and the deformities from the previous surgeries. Many times your tissue has suffered extensive trauma after all of the surgeries and may not be pliable enough. It is often necessary for surgeon to bring in healthy tissue... more

 Your nose could be asymmetric for a number of reasons: Your septum is deviated  Your nasal bones are deviated Your nasal cartilages have inherent asymmetry You have facial asymmetry

It clearly looks like your nose is quite crooked and this can be a very difficult problem to correct if the appropriate techniques are not used. The one caveat here is that you have blacked out your eyes and mouth so it is impossible to determine what if any are the severity of facial asymmetries you may have. If your face is very asymmetric then there will be no such thing as a perfectly straight nose for you. Often times someone's mouth will be off center when compared to the eyes in... more

It will depend on several things. A revision rhinoplasty may be minor or it could be major. You should be aware that, in general, the more times the nose has been operated, the more difficult the next operation will be unless it just is a minor one. If it is going to be a major revision, you may want to get another by a surgeon who is known for doing revisions. The surgeon you choose should be one that a major portion of his rhinoplasty practice is revisions.

Generally speaking, a tertiary revision is possible but more information is needed to determine this. The specifics of what needs to be done depends partially on what was done on the first and second attempt, presence or absence of a septal perforation, and history of nasal substance use. I agree with previous posts which state that your nose can be made more straight, but may not be perfect. More than likely, an open rhinoplasty approach will be required, the nasal bones will need to b... more

Revision rhinoplasty is always complex. Straightening a crooked nose is also difficult. There are, however, techniques for improving the appearance of a crooked or twisted nose: spreaders, clocking sutures, osteotomies, and camouflage grafts are just a few of the options I'll bring to bear on the twisted nose. I prefer an open approach for these case, as would most of my colleagues, in all likelihood. Keep in mind that a perfectly straight nose is unrealistic. As a colleague of mine likes... more