Suggestions for Correcting Rhinoplasty Results

I discussed exactly what I wanted for a rhinoplasty result and even showed a picture. I asked that the nose not be tipped up, however, it now is. The nostrils are crooked and the doctor did a slight procedure to correct it, but made it worse. I wanted a straight nose on profile and it is not, and as I said, it's now tipped up with some of the tip cut off.

The physician said it's beautiful; of course, what else is he going to say. He eventually acknowledged that he made my nose worse. The doctor says he has no idea how to fix what he did and has refused to refer me to anyone that might help. Additionally, he did some lip surgery and made a choice to lengthen my lip without my approval. I have now lost my beautiful smile as the lip hangs over my lower teeth with my lips gently parted, and the lip covers half of the upper teeth on smile.

My nose is so ugly now I do have not been out socially for two years. I've spent almost $1000 trying to find someone who can help to do a revision. I am so devestated and very depressed. I've been in counseling for two years and can't get over this as I have to look at my face everyday and am humiliated how it looks. Any guidance or suggestions for correcting this? I have more photos if that will help.

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11 Doctor Answers | Asked by CathyD in Independence OH

Doctor Answers (11)
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There are options...

Dear Cathy, Revision rhinoplasty is one of the most difficult aesthetic facial plastic surgical procedures, but can almost always be performed. By your description of your nose, it sounds like the only way to improve the appearance of your nose is another operation. It will likely require some degree of cartilage grafting and augmentation. I do not know where you live, but I could certainly recommend someone in your geographic area who would have the required expertise. You have nothing... more

It is a long process.

I would suggest you get your money back from your physician! Make sure you get the appropriate psychological counselling about your nose to get a healthy perspective on the less than ideal outcome. Do some serious soul searching before you have anymore surgery. opefully you understood from the beginning that making a nose is not like building a house. There are no specs. Internal scarring can ruin perfect results. Surgeons also make mistakes. Also, patients having unrealistic expectations... more

Unhappy with septorhinoplasty results

I don't think any one of us who are reading your question can be anything but upset with your predicament. Your nose is distorted especially from the view you are showing, the worm's eye view. If your doctor will not suggest someone, I would try one of the major teaching centers in plastic surgery like in Pittsburgh or Chicago where they may be of more help and have had more experience treating your problem. Good luck.

Rhinoplasty failure and depression

Your disappointment and depression associated with a less than adequate result in rhinoplasty surgery is not unusual. When this depression causes you dysfunction in your life you need to seek counseling. You need to find a qualified facial plastic or plastic surgeon that has an extensive experience in revision rhinoplasty. Once you find that surgeon, it is imperative that the two of you develop realistic expectations to the extent your nose can be rehabilitated. Improvement and... more

Rhinoplasty Revision

If a patient has spent a thousand dollars in consultations trying to find somebody to do a revision, then the patient has visited many different surgeons and received many opinions. With so many similar opinions on a revision surgery, there is no need to find others as long as the consulted physicians are well-versed in revision rhinoplasty procedures. At this point, I strongly encourage you to continue counseling for your depression as this will help you transition back to your regular... more

Blepharoplasty using scalpel is better

New York City is a mecca for this type of surgery, and with literally hundreds of plastic surgeons here, I do not know of a single one who would prefer a laser to a scalpel for the procedure you mentioned. Michaelangelo worked fine with a hammer and a chisel. Frankly, lasers "burn" and that's how they cut. If you look up, or Google the word "laser", it's an acronym for Light Activated something or other and the "R" stands for Radiation. Enough said? see video

Unqualified surgeon

Cathy, I'm going to go out on a limb here and guess that you went to an unqualified surgeon. Your case underscores the importance of board certification by the American Board of Medical Specialties (American Board of Plastic Surgery, American Board of Otolaryngologists). Of course, any surgeon can have a bad result, but surgeons that are board certified by these bodies would more than likely have the training and expertise to know how to correct untoward results and if not, would... more

Unhappiness Two Years Following Rhinoplasty

Hi Cathy, Sorry to hear about your dissatisfaction with your rhinoplasty and lip surgery two years ago. There are many excellent rhinoplastic surgeons who specialize in revision rhinoplasty. It sounds as if you will require an augmentation rhinoplasty revision which involves using your own cartilage to support your nose. Sometimes implants may be used to add to the dorsum of your nose if you lack your own cartilage. It would be helpful to see more photos, particularly a front view... more

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Revision rhinoplasty

Hi, Cathy, unfortunately, your story is not unheard of. On the brighter side, you can probably improve on your results greatly if you choose a good facial plastic surgeon who is experienced with revision rhinoplasty. We deal with revision rhinoplasty on a regular basis. I will be happy to look over your photos and discuss your case further. If you are in Ohio, I can give you recommendations for a good surgeon close to your home. In the meanwhile, I would encourage you to continue with... more

You need to see a nasal revision expert in your area.

Cathy, the best advice I can give you is to see an expert in your area on nasal revision surgery. A surgeon who fits that description is Dr. Devinder Mangat in Cincinnati. He should be able to examine your nose and tell you what can be done to achieve your goals. It would be helpful to bring a list of specific questions with you so you don't forget anything. Good luck

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty

Rhinoplasty is a difficult operation and should be done by a surgeon that is qualified to do it, and that has consistently good results. I suggest you look for a doctor in your community or outside your community that can help.There are many around the country. Good luck.