Revision Rhinoplasty: Q&A
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Upturned Nose After 4th Surgery: Will a 5th Revision Rhinoplasty Fix the Problem?
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.
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6 Doctor Answers |
Asked by
szk03
in CA, 900013
+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
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.
+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...
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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...
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+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.
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Upturned Nose After Rhinoplasty
Lengthening the nose is one of the most difficult things in rhinoplasty. Most of the time it requires the use of either septal cartilage (if present) or costal cartilage. Early on, the swelling from the nose will make it appear shorter than the final result. The rate limiting steps in lengthening the nose are skin mobility and the amount of skin available. Contracted scarred skin moves less and may make it harder to lengthen the nose. Preoperative massage can be...
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