Shell I Risk 4th Rhinoplasty/revision? (photo)

I had two rhinoplasties few years ago and was perfectly happy after second one. Since had breathing problem, decided to have medical surgery a year ago, which left my nose disfigured, it`s too short, too high, crooked and badly stitched. I haven`t recovered since. My first surgeon, who gave me my fantastic nose before, says it would be too risky to have another surgery and he doesn`t recommend it. We do fillers now, but I`m not very happy and want a lifetime solution. Shell I risk 4th surgery?

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disfigured multiple procedures

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5 Doctor Answers | Asked by yvonne0910

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Revision rhinoplasty

Hello, and very sorry to hear about the negative result you have experienced from your most recent surgery. In general, I would not recommend having filler injected in the nose. I have seen too many complications arise. These complications may include infection, rejection by the body, asymmetry, and necrosis (the tissue dies). In the hands of a revision rhinoplasty specialist, a revision can help and improve the appearance of your nose. I would recommend seeking the opinion of a board... more

Shall I Risk 4th Rhinoplasty/revision?

I have performed Rhinoplasty and Revision Rhinoplasty for over 25 years and from the photos provided aesthetically the nose appears to have the following issues: Over-resected nasal bridge and bones giving it a scooped out appearance. There may be an "open roof" deformity as well which would have to be diagnosed with a nasal examination. Over-rotated, nasal tip....this can be reduced with a localized Columellar Tuck that does not require a Rhinoplasty. The... more

4th Time Rhinoplasty Surgery

Looking at the photos, I think you would benefit more from doing a formal revision rhinoplasty surgery. Obviously any final determination would require an in-person consultation. But I would certainly not recommend fillers to address the main issues that I can see. That being said, you need to consult with an expert in revision rhinoplasty surgery who has dedicated experience in managing this type of complex, challenging revision case.

Multiple revision rhinoplasties, augmentation and lengthening

You could achieve improvement with a fourth rhinoplasty, third revision. There is obviously loss of support that will not be corrected temporarily or permanently with injectable fillers which only camouflage the problem. Because of the number of previous surgeries there is probably very little cartilage remaining in the septum that could be used to reconstruct your nose. This would more than likely necessitate the use of rib cartilage to strengthen the nasal dorsum and... more

Extended Spreader Grafts for a 4th Rhinoplasty

Physical exam and nasal support determination as well as breathing status is always critical prior to a revision operation. An operation can be performed in which extended spreader grafts can be used to improve the dorsal aesthetic line and lengthen the nose as you want. The nostril asymmetry can be improved with a lateral crural strut graft. Once again, these are just a couple of suggestions. Always seek out a rhinoplasty surgeon who has perfomed at least... more