Rhinoplasty: Q&A
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Can I Get my Old Nose Back?
I had rhinoplasty to fix a deviated septum, but the doctor also raised my tip. This was never discussed and now I don't look like my self anymore. I am now very upset and depressed. Is it possible to undo the tip raising and bring it back to its original position?
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13 Doctor Answers |
Asked by
SeniorKoo
in Toronto
+2
Revision Surgery
It sounds like you have had an unfortunate result from yor rhinoplasty. Some alterations to the tip of the nose that are performed during rhinoplasty are absolutely reversible. These include removing tip shaping sutures and removing any cartilage grafts that were placed. Some tip changes such as cartilage removal however are not fixable as once the cartilage is gone, it is gone. Good luck with the revision surgery.
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Lowering the Tip or Reducing Projection in Revision Rhinoplasty
The tip can be lowered or derotated if it is pointing too high up. In some people, the tip is too projected. It is important to distinguish the two from a patient's perspective. Both can be corrected.
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Undoing a change in the nose
It is possible to reverse a change in the shape of your nose. However, it is very difficult. You need an extremely experienced surgeon in revision rhinoplasty.
Talmage Raine MD FACS
drraine.com
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Revision rhinoplasty
Photos or an exam would really be necessary to provide you with specific advice. In the hands of an experienced revision rhinoplasty specialist, improvements can likely be made, as it is possible to lower the tip during surgery. I would recommend waiting at least one year before considering any revision procedures. I hope this helps, and I wish you the best of luck.
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It's hard to go back
It may be possible to try to return your tip to its pre surgery position, but this cannot be guaranteed. The nose will heal and affect the final result. If the nose is in a position that is in need of correction, a revision may be indicated.
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Getting one's old nose back
It is a difficult question to answer without seeing your pre-op photos and seeing you now. Some corrections could be made eventually once the swelling has gone down.
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Getting your old nose back after rhinoplasty
Having a clear plan before rhinoplasty is vert important to avoid unpleasant surprises. You can get much of your 'old' nose back, though you will have to wait until the tissues soften, about a year for most. Both you and your surgeon should complete a careful review of photos and the goals so you both are going the same direction.
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Revision Rhinoplasty
There are multiple reasons why the tip may be over-rotated. Photos would be helpful to further asses. If the over-rotation is from post surgical swelling then I would wait, if its related to a surgical maneuver I would proceed around 6 months.
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Relax and heal
You need to give your nose a year after the surgery to fully heal before contemplating any revisional surgery. Your nose will naturally drop and soften. You will probably never quite get your original nose back.
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I Want My Old Nose
Your nose can be lengthened if that is what you need and want. Pictures are necessary for me to be more specific.
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Rhinoplasty revision
Although there are always options to revise a rhinoplasty, including revising the nasal tip position, I agree with Dr. Harrell. Before considering another nasal surgery, it is important that you let your nose heal and allow the internal scarring to soften and the swelling to subside. I would suggest you wait at least six to twelve months from the time of your original rhinoplasty, before having another procedure. Best wishes.
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How to get my old nose back?
It can be extremely frustrating to be in your position. The situation of an 'over-raised' tip may be due to one or more of several reasons and that would dictate just what is done to 'correct' what you are seeing. One of the cardinal principles in revision Rhinoplasty is to allow most swelling and scarring to resolve before re-operation, if at all possible. The waiting can be difficult for the patient but this is a very important concept in ultimately obtaining the best...
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Rhinoplasty reversal
The short answer to your question is yes you can derotate or retrodisplace your tip to eliminate the upward raised tip. The surgery to change this could be relatively simple or may require additional surgical techniques. I would address your concerns with your physician as sometimes the tip will get back towards its more natural position over time as well.
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