Septorhinoplasty and Still Crooked

asked 1 year ago by Vincenza in Providence, RI
Latest answer by Ivan Wayne, MD
Question viewed 383 times
Tags: nose tip, male, crooked, revision

I had a septorhinoplasty performed 10 months ago and received subsequent Kenalog injections every couple of months due to scar tissue formation in the supratip area as well as the left side of the nose. My main concern has to do with the fact that my nose is still crooked and the tip is now twisted downwards to the left. What can be done at the one year mark to correct this without the same deviated result occurring again?

9 answers to Septorhinoplasty and Still Crooked

Nose crooked after rhinoplasty.

Without examining your nose it is difficult to say from the photo all that is deviated and how I would correct it. See your surgeon and if you are not happy see an experienced revision rhinoplasty specialist.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision Rhinoplasty due to deviation

In reviewing your photograph it is difficult to determine the cause and complete severity of your deviation. The deviation may be due to septal problems if they were not fully addressed in the primary procedure but this is difficult to determine without a full examination of the inside and outside of the nose. I would go back to your surgeon and discuss your concerns. You will need to address if you are having any breathing difficulties or if they are cosmetic only. I would make sure that... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Some deviation is common after rhinoplasty

I feel your frustration. After you go through a surgery you want everything to turn out perfectly. To address your case would require more photos showing your full face and additional angles. Looking at your prep photos as well would be helpful. Potential causes of nasal deviation after surgery are many and include: uneven osteotomies, collapse of one of the nasal bones, unequal healing of the nasal bones, uneven removal of bone or cartilage, uneven cartilage grafting (onlay or spreader),... more

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon

Secondary Rhinoplasty Very Common

It seems as though your nose will require some attention from your surgeon. I would go back and talk to him or her about your situation in detail and then see if there is any hope for this to resolve itself. It may not. And if not, then you need to plan for a revision operation where the nose is straightened and the supratip deformity is improved. My bet is that you will need some cartilage grafts and an opening up of your tip. Good luck and make sure you get... more

Jay Calvert, MD
Beverly Hills Plastic Surgeon

Crooked nose may need revision

Septorhinoplasty is one of the hardest surgeries, and is therefore left to surgeon specializing in such. I perform a significant number of revision rhinoplasties. Rhinoplasties are the mainstay of my practice. One of the things that I notice when I revise a nose is that many times the septum has not been adequately addressed even though the operative note states that a septoplasty was performed. The septum is the main tent pole of the nose. When the tent pole is... more

Raghu Athre, MD
Houston Facial Plastic Surgeon

www.athresurgical.com

Residual septal deviation following rhinoplasty

Rhinoplasty is considered to be one of the most difficult surgeries in plastic surgery. Your nose composed of bone, skin, mucosa, and cartilage, and each of these tissues has different properties. Unfortunately, revision rhinoplasty is not uncommon. Studies indicate revision may be necessary in 5-30% of rhinoplasty procedures. Revision, in general, should not be performed prior to one year following the primary procedure. Every physician is different, but I... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Crooked nose after rhinoplasty

Without examining you, it is impossible to give you individual advice as the photo doesn't provide a three-dimensional review. However, while there are many causes of crooked nose after surgery, including scar formation, graft displacement, imprecise surgical correction, facial dysharmony, and other causes, correction does not always have to entail more surgery. Sometimes precise corrections are more easily obtained with fillers. Hyaluronic fillers like Restylane,... more

Michelle R. Yagoda, MD
New York Facial Plastic Surgeon

Deviation following septorhinoplasty

If your nose is still deviated following septorhinoplasty, you likely will require further surgery. However, the photo does not clearly demonstrate the deviation. Can you post more views?

Arian Mowlavi, MD
Laguna Beach Plastic Surgeon

Revision Rhinoplasty After Previous Surgery

Rhinoplasty is a challenging operation and the revision procedure even more so. It is important to wait the full year after your procedure to ensure the swelling has resolved so that an accurate diagnosis of your problem can be made. From your limited photo, you have a slight depression at the middle 1/3 of your nose as well as the tip deviates to the right. This must be compared to pre-op photographs as well as in relation to your overall appearance. Limiting this to a single photo of... more