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Upturned Nose After 4th Surgery: Will a 5th Revision Rhinoplasty Fix the Problem?

asked 1 year ago by szk03 in CA, 900013
Latest answer by Sam Naficy, MD
Question viewed 273 times
Tags: ears, male, graft, options, upturned

Dear Doctors, 5 days ago I did my 4th rhinoplasty and I still have a very upturned nose (more than 110 degree and I am a male). I got this upturned nose after the 2nd surgery which was very agressive and the 3rd and the 4th didn't fix the problem. The last doctor used an ear graft as well. Could it be that my nose cannot be de-turned? I am ready to do a 5th surgery.

5 answers to Upturned Nose After 4th Surgery: Will a 5th Revision Rhinoplasty Fix the Problem?

+2

Yes your nose should be able to be rotated downward with Revision Rhinoplasty

 I'd have to see you, or pictures of your nose to make specific comments and recommendatiuons but after performing Rhinoplasty and Revision Rhinoplasty for over 20 years, yes IMHO, your tip should be able to be rotated downward...or lengthened.  Placing an ear graft to the front, of the nose, is often not an adequate means to decrease tip rotation.  Most often, there is columellar show that must be addressed as well.  You will have to wait 6-12 months nefore having... more
+2

Over-rotated nose

As others have pointed out early post-op swelling will make the nose look up-turned.  Having said that if after a few  weeks it is still up-turned it will likely remain so.  At that point consider a rib graft.
+2

Upturned nose following multiple revision rhinoplasty procedures.

Without photos and only 5 days following your 4th rhinoplasty it is hard to tell exactly what the issues are.  You will need to let the swelling subside and the tissues to completely remodel before considering revision rhinoplasty, if indeed that is the advisable thing to do.  Typically the waiting period is 9-12 months.  I agree that swelling in the early postoperative period can cause a temporary up-rotation of the nasal tip.  If, things have not changed down the... more
+2

Upturned Nose after 4th Surgery

It is difficult to evaluate your nose 5 days after surgery; swelling can distort your appearance at this time. Wait  6-12 months and then submit pictures to Real Self physicians if you're not satisfied and want another opinion.
+2

Fixing upturned nose

It's hard to assess the outcome of your recent surgery so soon after the procedure was completed. swelling at the base of the nose can cause your nose to temporarily become more upturned. Without seeing your nose it's hard to say whether further surgery would help.

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