Revision Rhinoplasty Q&A
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Should my Surgeon Perform a Revision Rhinoplasty Due to Being Disproportionate?

asked 11 months ago by Islandgirl17 in Merritt Island, FL
Latest answer by Richard W. Fleming, MD
Question viewed 138 times
Tags: nostrils, 11 months post-op, disproportionate, options

My left nostril is disproportionate to my right one and is more noticeable in person. It's been 11 months since my surgery and the swelling in my nostril has not gone down. I have an appointment with him in 2 weeks and I want him to fix it. Also, I asked for my nose to be shortened and he said that he would but it doesn't look like he did. He just broke my nose which caused it to lift but not shorten. Totally different. But I just want to know if this nostril being disproportionate is fixable?

4 answers to Should my Surgeon Perform a Revision Rhinoplasty Due to Being Disproportionate?

+1

Revision Rhinoplasty for Nostril Asymmetry

Whether your should have a revision procedure to improve nostil and tip asymmetry is a personal decision you and your surgeon will have to make. Perfect nostril symmetry is rarely achieved, but reasonble expectations should be established before making a decision.
+1

Nose disproportion

It appears that your left nasal bone may have been moved in a little more then your right. The upper lateral or middle third is out and this creates a look of persistent swelling and asymmetry. Your tip has also been rotated and narrowed. This can be fixed but I caution you not to expect perfect symmetry between the two sides.
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Nostril Disproportion

Excellent question. Nostrils , in general are asymmetric and are very hard to even out. After looking at your pictures, the problem with your nostril position is not isolated, but it has to do with the overall shape of the cartilage on your tip. Your entire tip is uneven, and you have a collapse along the right nostril side wall (External valve collapse). The way the left tip cartilage was positioned, or the way it healed is causing your left nostril to "pull up". This is fixable,... more
+1

You may be a candidate for a Non-Surgical Rhinoplasty to lower the height of your nostrils.

I read your concerns and reviewed your B+A photos: Your post-op photo shows that your nostrils are a bit retracted with your left higher than your right. In my practice, this may be corrected with an Injectable Filler treatment: I prefer Silikon-1000, an off-label filler for permanent results. You may also have a slight indentation above your right nostril as compared to your left. This may be improved with Silikon-1000 as well. In my view, you should leave revision rhinoplasty as a last... more

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