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Bad Nose Job
asked 4 years ago by anon
Latest answer by Robert E. Zaworski, MD
Question viewed 53,311 times
Tags: age 18-24, male, bad, botched, results, unhappy
I have had the worst rhinoplasty i could possibly had. I am a 20year old male who had a medium long attractive nose. And considered by most to be very goodlucking. Then i had made the stupidiest decision under-going rhinoplasty (for small bump) and septoplasty. Now my nose is sooo small,no bridge and very big nostrils. I have been waitng for revision rhinoplasty 4 7months and cant wait any longer. I havnt seen any of my friends for six months,i have been hiding and travelling far from home to work. And life is really hard. Researching rhinoplasty i havnt even seen any good nose work And i am really concerned. And i am very desperate and worked hard to save up day and night
53 answers to Bad Nose Job
+4
Let your nose evolve before seeking an experienced revision rhinoplasty surgeon
Sometimes bad nose jobs resolve themselves.The most important thing is to wait for at least one year. All noses evolve and continue to shape themselves, even beyond a year. I have seen noses change even 5 years out. Once that task is complete, then ask yourself what you truly do not like about your nose as far as the way it looks and how well you breathe. Do you breathe worse or better than before your nose surgery? Are you now a mouth-breather, when you were always a nose-breather? With...
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+3
Bad Rhinoplasty Result
First of all, I'm sorry you had an unfortunate experience with your primary rhinoplasty. If your result is as bad as you describe, wait at least one year after the original operation. There are many excellent surgeons available. Select a physician with extensive experience in revision rhinoplasty. Take your time, get several consultations, and ask to see results in patients with similar problems.
+11
"Doc, you didn't operate on Michael Jackson, did you?"
Rhinoplasty is considered to be the most difficult of all cosmetic surgical procedures. Even the best surgeons have revision rates of 3-5%. Bad nose job results are usually due to many factors, the most important of which is choosing your surgeon carefully. I am continually amazed that many patients are more careful, and spend more time picking out the color and model of their new car than they are in selecting the surgeon who will operate on their nose.
As we know, the nose is smack dab...
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+7
Talk to your doctor about your bad nose job...
Talk to your doctor about your bad nose job concerns
Rhinoplasty is generally acknowledged as one of the most difficult of all facial plastic surgery procedures. The reasons for this are multiple, and include the complexity of the three-dimensional structure of the nose, nasal physiology, in addition to the required technical skills and an aesthetic eye. Final results in rhinoplasty really should not be judged until one year has passed; in some cases, things may continue to change even...
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+6
Bad Nose Job
I am sorry to hear about your distress. While I am sure you did, the first step when not pleased is to speak with the surgeon. Ensure that the surgeon understands your concerns, and ask him what can be done. If you are not content with his answers, you have the right to visit other surgeons for their opinion. However, I would probably limit it to two other respected and well credentialled surgeons in your area as you don't want too many opinions that can further confuse the...
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+5
It depends on when your Rhinoplasty was done
A bad nose job really depends on how long ago it was done. Right after surgery, your nose usually doesn't look very good. The swelling and the bruising usually distorts the area so that it really won't look like it should for weeks to months. This especially occurs in the tip area. Sometimes, after your rhinoplasty, results that are not going to turn out as promising can be determined. Usually they are very obvious things like a deviated nose still appearing deviated after the procedure. ...
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+5
Further treatment for bad nose jobs It's important...
Further treatment for bad nose jobs
It’s important to recognize that full healing and shaping of the nose can take over a year. At that time, if someone is unhappy with the result they can consider a revision rhinoplasty.
Revision rhinoplasty is typically much more complicated than a primary rhinoplasty, and it’s very important to select an experienced surgeon who performs a great deal of rhinoplasty procedures.
+4
Considering revision rhinoplasty
If you think you had a bad rhinoplasty and you are thinking about a revision, there are several things to consider.
1. You need to let things heal first, and it takes about a year. No respectable rhinoplasty surgeon will touch your nose until about a year after your surgery. Doing it before then will severely compromise your chances of having a good outcome.
2. It is not your fault. Unfortunately, there are too many surgeons out there who do rhinoplasty, and who should not be doing it. It is...
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Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+4
What to do about a bad nose job
In plastic surgery, just as any other medical procedures, there is a potential for less than an ideal outcome. When it comes to cosmetic procedures, patients experience a higher degree of anxiety associated poor outcomes.
It's important to know that the early outcome of rhinoplasty surgery, does not necessarily equate to late results. Swelling and minor asymmetries typically improve after one year. Most surgeons therefore, recommend waiting for one year before considering revision surgery...
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Maurice M. Khosh, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+4
If the patient believes they have had a bad nose job,...
If the patient believes they have had a bad nose job, full healing must occur prior to embarking on any revision rhinoplasty surgery. Look for a surgeon who has done thousands of rhinoplasties and specializes in both rhinoplasty and revision rhinoplasty. Consider a surgeon whose original background is ear, nose, and throat to make sure that there are no further breathing problems as well.
+4
How to talk to your Dr. about a bad nose job...
We all hate to hear about the large number of bad nose jobs out there. It is a very common reason plastic surgeons get sued.
I think that part of a good nose job entails educating patients about the possible consequences of surgery. Despite good surgery, some noses go bad! However, some patients get bad surgery.
I tell patients to wait a year at least after surgery to let healing complete. A re-analysis of the nose from the outside and inside is necessary after that point to figure out...
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Manish H. Shah, MD
Denver Plastic Surgeon
Denver Plastic Surgeon
+3
A Revision Can Help!
Very sorry to hear of your bad result from Rhinoplasty.
A revision surgery can help. Find a surgeon known for excellent nasal work, possibly a surgeon known for rhinoplasty revision.
Don't lose hope.
+3
Dealing With A Poor Rhinoplasty Outcome
Firstly, I sympathize with your situation and am sorry that you have to go through this experience. However, I think there is one part of your inquiry that really stands out in my mind. You give the impression that you have researched the topic of rhinoplasty and have not seen 'any good nose work' along the way. Unless you only researched a limited geographic area, I would seriously question how realistic you are about achieving a reasonable outcome.
Although rhinoplasty and...
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+3
Wait an entire year after rhinoplasty for revision
You need to wait for an entire year after a rhinoplasty. Keep your calm until then and stop focusing on the mirror (easier said than done, I know). Research some of the big names in revision rhinoplasty in the country. Sometimes your plastic surgeons will give you some options to consider going to.
Best wishes,
DoctorMeade
+3
Correcting a bad outcome after rhinoplasty
Revision rhinoplasty is a specialty in and of itself. Some subtle irregularities can quite easily be corrected but in general, this is surgical procedure that requires careful planning, extensive experience and artistic skill. I recommend interviewing 3 surgeons that specialize in rhinoplasty surgery.
Ask them specifically how many rhinoplasties they performed during their residency and/or fellowship training. How many have they performed in the last month and how many revision they have...
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Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
San Francisco Facial Plastic Surgeon
+3
Rhinoplasty, revision rhinoplasty
Perhaps no other plastic surgery procedure is more difficult than rhinoplasty. Essentially, the underlying cartilage and bone is sculpted and sutured to create the framework for a more aesthetic appearance.
Unsatisfactory results after rhinoplasty can be due to several causes, some avoidable and others more difficult to predict due to patient healing. To me there are a few keys to achieving consistent success.
1. Good communication between patient and surgeon so that the goals of surgery...
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+3
Bad rhinoplasty outcome?
There are many reasons why a rhinoplasty may fall short of your expectations. Poor surgery, poor healing, inappropriate expectations due to inadequate preoperative counselling (to name just a few) can all lead to a less than spectacular result in the eyes of the patient. It has been estimated that 8-10% of rhinoplasty patients are so unhappy with their result that they end up having a revision rhinoplasty- so you are not alone!
The first thing to do is discuss your concerns with your...
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+3
Evaluation by qualified rhinoplasty plastic surgeon necessary
A 'bad nose job' can be very subjective. A bad nose job can present itself with a undesired cosmetic appearance or an undesired breathing problem. Realize that the nose will go through a lengthy 'healing' period following rhinoplasty. This can be anywhere from 1 to 2 years. Do not rush into a rhinoplasty revision; however, it is not unreasonable to discuss your concerns with your plastic surgeon or another if you have significant concerns or anxiety. Avoid undergoing further surgery for at...
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Sanjay Grover MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+3
Consider traveling for a revision rhinoplasty
Revision rhinoplasty can be a very challenging procedure for the surgeon and patient. I therefore recommend selecting a surgeon that has experience with revision rhinoplasty. It is not uncommon for patients to travel to other cities for consultation with other surgeons. I recommend that patients do their homework and consult with experienced surgeons and select one with which they feel comfortable. The surgeon should perform a high volume of revision rhinoplasties.
+2
Suggestions regarding revision rhinoplasty surgery.
Rhinoplasty surgery is complex and does require at least a year to fully heal. If your nose clearly has problems that are going to require secondary surgery you should see a number of experienced rhinoplasty surgeons in consultation. It is difficult waiting for a revision operation but you should have comfort knowing that in the majority of situations revision surgery can help you achieve your goals. You should speak to your own surgeon and see...
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+2
Worst nose job ever
Revision rhinoplasty is by far the most difficult operation performed by plastic surgeons (facial plastics included of course). if you think your first decision was "bad" based on the result, tread very carefully now because the ice only gets thinner from here on out. Your desire to "fix" the problem is understandable but slow down and research part II very carefully. Read Dr. Rohrich's comments carefully. he speaks of what he knows. good luck
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Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
Boca Raton Plastic Surgeon
+2
Generally wait 1 year before revision rhinoplasty.
Generally, patients must wait about 18 months to see the "end result" of their rhinoplasty. Most surgeons therefore wait 12-18 months prior to any revision. This also allows time for the nasal bones to heal and stabilize. However, in select cases it may be appropriate to perform revisions as early as six months, when it is clear that a deformity will not resolve over time. In all cases, a thorough analysis of the nose and detailed surgical plan is essential to optimize your chances...
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+2
Repairing bad rhinoplasty result
I know that it can be distressing when a patient isn't happy with how their nasal surgery has turned out. Especially in a case like yours where a relatively small change was trying to be made.
It is a bit early to undergo revision rhinoplasty surgery but certainly you could start the process of consulting with revision rhinoplasty surgeons to see what can be done. We usually wait until about 1 year after the original surgery to allow for the swelling to improve and scar tissue to...
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+2
Revision rhinoplasty
Sorry for your problems, but you rally do have tto wait about one year to see what the final result will look like., You can certainly go for a consult at thispoint to get an idea fo what could possible be done.
+2
Revision rhinoplasty
Although most surgeons will tell you to wait a year for a revision, on cases where a lot of tissue has been removed and it is certain that regardless of swelling, the nose is not proportionate, a revision rhinoplasty can be performed.
You should be able to find an experienced rhinoplasty surgeon to evaluate you and come up with a treatment plan sooner than your one year anniversary.
Dr Siegel
+2
Unhappy with rhinoplasty
I am very sorry that you are unhappy with your rhinoplasty result. The good news is that there are some great revision rhinoplasty surgeons out there. I spend a lot of time with patients who come to my office seeking revision surgery, as it is much more complex than a primary surgery. My advice to you is to seek out a surgeon who is experienced in this type of surgery. While I still would wait a little longer before proceeding with surgery, it would be good to get the ball rolling. Try...
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Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
Fort Lauderdale Facial Plastic Surgeon
+2
Poor rhinoplasty result looking for revision rhinoplasty
It is always an unfortunate situation when rhinoplasty does not work out the way we all would like it to work out. The best thing to do is to talk to your surgeon about what happened and see where things can go from there. If you are not happy, I am sure your surgeon is not happy. You must decide if your surgeon can perform the revision you need if that is what is indicated, and if not, who will be best to help you with the secondary rhinoplasty. Do your...
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Jay Calvert, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
Unhappy with nose surgery
More than any other procedure, patient expectations are extremely important to understand before surgery. It sounds from your note that details may not have been fully discussed prior to surgery. This is a set up for a unhappy situation.
In reading your note, I am concerned about the fact that you state you have researched and not found any nose results you like. You may not have been a good candidate for rhinoplasty to begin with. To help decide if revision surgery(...
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Brian Maloney, MD
Atlanta Facial Plastic Surgeon
Atlanta Facial Plastic Surgeon
+2
Rhinoplasty Problems and Timing for Correction
Get a copy of your operative notes and see as many nasal surgeons as it takes to feel like you've found the right one. Your nose can be fixed or at least significantly improved. It will be necessary to replace missing tissue and there are different ways of doing this depending upon the amount of tissue missing, the amount of scarring present and of course your own aesthetic goals. This is obviously a bad time in your life but you should be able to put it all behind you soon. I'm...
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+2
How to Approach Getting Your Rhinoplasty Revised
A Rhinoplasty is a very complex operation that affects both one's appearance and ability to breathe and needs to a full year to heal to allow adequate evaluation. In patients with thicker skin, and especially in males, I believe this time frame needs to be strictly adhered to. In your case, I am sorry that you are not happy with your appearance, as it sounds like your nose has been over reduced, giving rise to your lack of nasal bridge, small overall size, and enlarged...
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+2
Bad nose jobs and revision rhinoplasty
Today there are a number of reasons for bad nose jobs; the most likely is an inexperienced surgeon who doesn't know what he/she doesn't know. Revision rhinoplasty attempts to correct the underlying problem, which is either over resection or underresection of tissues, or both.
The goal in revision rhinoplasty is to restore a natural looking nose that fits the face, using the person's own tissues. Sometimes the nose has to be completely rebuilt in revision...
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Ramtin Kassir, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+2
Revision rhinoplasty
I feel for you , it bothers me terribly that bad and even incompetent rhinoplasty work is being done. Unfortunately rhinoplasty is a deceptively hard operation that takes excellent training and tons of experience. Enough said....now you must find a surgeon who has extensive experience and lots of good results he can show you in REVISION RHINOPLASTY. If he has not done a lot of revisions or can't show you lots of his results....run. You don't want to make a bad problem worse and...
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+2
Breathe! Relax! Take a few moments! Now...about revision rhinoplasty....
The first thing to do is not to jump into a revision rhinoplasty. First let your nose heal. The nose may take 6-12 months to heal fully. Swelling, etc takes time to settle down. Once everything has settled down, if you are still interested in a revision rhinoplasty, take time to find a surgeon that you click with. The surgeon should take his/her time to fully evaluate you and explain all of your options to you. Please check out my other response on...
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+2
Revisional rhinoplasty
Your case sounds very complicated and may require bone and/or cartilage grafting. The reality is that you should get several opinions and wait as long as possible in order to allow proper healing from the first surgery. Ultimately you should realize that your nose will not be the same as before you had any surgery.
Wishing you the best,
Tal Raine MD
Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+2
Important items to Consider after an Unfavorable Rhinplasty Result
It is important not to rush to revision rhinoplasty surgery. Please consult a number of revision specialists.
Discuss all your options with your plastic surgeon. If you decide to seek a second opinion, make sure you obtain your operative report and before surgery picture and bring it to the consultation.
From what you are describing, it seems that your bridge of the nose was over-reduced which can give the appearance of wide nostrils.
Using a variety of your own tissues your...
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+2
Several things to do after poor rhinoplasty result
It unfortunately sounds as if the nose was over reduced, which has made the nostrils appear larger and wider during the healing process. You must not panic or rush into revision surgery without good advice from a revision rhinoplasty expert. It is important to have a copy of the operative notes and your pre op pictures when you seek a second opinion, assuming you are going to a different surgeon. This is because you may need cartilage from the ear or a rib for restoration of dorsal height if...
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+2
Unacceptable rhinoplasty result
Although I would usually recommend waiting for at least a year for additional surgery, some areas could possibly be addressed sooner. Wide nostrils are not likely to get better by waiting, and a surgical revision may be helpful. There are several injectables now that may improve a small nasal bridge, too. You certainly do not want to do too much too soon. Discuss your concerns with your doctor. Experienced surgeons can give you the best advice.
Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+2
First Rhinoplasty a disaster
First thing you should do is calm down. There are many talented nose surgeons around the country. You are still healing and should understand that it takes almost a full year to get the results. The next thing you should do is talk to your physician and see what he says to you. You can also get some pictures together and send them around the country to various physicians for a second opinion. Don't dispair there are solutions to improving the results of your first nose surgery.
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Carlos Wolf, MD
Miami Facial Plastic Surgeon
Miami Facial Plastic Surgeon
+2
What to do about undesired rhinoplasty result
You may have had a result that you did not like, you described a minimal problem existed before surgery and did not get what you had in mind.
Then you say you researched rhinoplasty and have not seen a good nose , that makes me wonder, are you looking for a perfect picture of a perfect nose.
Your isolating yourself from friends is worrisome.
You may want to discuss your nose with a Board Certified Plastic Surgeon and discuss your body image with a therapist
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+2
Revision Rhinoplasty specialist
Revision rhinoplasty requires a very specialised set of skills to perform well. It is important for you to wait at least 1 year to undergo your revision rhinoplasty procedure so that your surgeon can see what the nose looks like with most or all of the swelling resolved. Make sure your surgeon is a skilled revision rhinoplasty expert with lots of experience and most importantly DO NOT TRY TO BARGAIN HUNT when seeking out your surgeon for your revision rhinoplasty. This procedure requires a...
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Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+2
Revision Rhinoplasty information
I'm very sorry to hear that you are unhappy with the results of your initial Rhinoplasty procedure, I understand how disappointing and frustrating this can be. I recommend that you look for Plastic Surgeons who specialize in Rhinoplasty procedures. Nothing can take the place of experience. Don't be afraid to ask about their experience and of course, always confirm they are Board Certified. I would also recommend seeing more than just one or two. Get the opinion of several, and base your...
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Scott W. Mosser, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+2
Get several opinions from experienced plastic surgeons for a bad rhinoplasty
Primary rhinoplasty is hard enough. A secondary rhinoplasty is much more difficult because of scarring and alteration to the native anatomy. It would be impossible for anyone to give you specific advice without examination. But you should be able to get consensus from several good surgeons and then choose a course of action that will give you a good result after a revision. If you think a secondary rhinoplasty is hard, a third go around is even harder.
+2
Look for an experienced Rhinoplasty surgeon
Experience, Experience, Experience. Ask for it. Ask about the frequency your surgeon performs such challenging surgery. Discuss his or her surgical plan. Then do the same with another or even two before making your choice of a nasal cosmetic surgeon. Your decision is critical as the only thing worse than doing a first major rhinoplasty revision is doing a second.
Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
Annapolis Facial Plastic Surgeon
+2
Revision Rhinoplasty can be difficult
Performing revisionary procedures on the nose can be quite challenging, and you should interview several board-certified surgeons before deciding on who to go to. The difficulty is due to the presence of scar tissue, and the loss of normal tissue planes. Often, there is edema (fluid) in the tissues if the surgery has been performed within the last year. Some surgeons will re-operate early if they see an obvious deformity while others will wait until the swelling dissipates.
I would...
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Wilfred Brown, MD
Fairfield Plastic Surgeon
Fairfield Plastic Surgeon
+2
A bad nose job can often be corrected
When you are referring to a bad nose job, it is important to consider several possible areas.
Is the result temporary? Often times continued improvement can be expected over the next year or so.
Secondly, is it a bad outcome based on too much tissue being removed? That is the hardest to fix since, other sources like ear or rib might be necessary to fix the problem.
Thirdly, is it a bad outcome because not enough tissue was removed? If that is the case, additional contouring is still highly...
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Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+2
Bad nose job
Before and After photographs of your nose are essential to determine what needs to be done. When you say "Bad Nose Job" it is important to define what you mean; some patients define "bad" as minor asymmetry or swelling after surgery, and this can improve with time.
If there is clearly a major problem, then it is better to correct the problem sooner rather than later. If your surgeon does not agree with your assessment of the results, then schedule a consultation with a...
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Daniel Reichner, MD
Newport Beach Plastic Surgeon
Newport Beach Plastic Surgeon
+1
Seek 2nd Opinions regarding your Rhinoplasty
This is very sad. Please seek 2nd opinions regarding your nose. A good place to start is The American Society of Plastic Surgeons (ASPS). Be sure you see Board Certified Plastic Surgeons. Get a copy of your operative report from your doctor,and take that along with your before pictures to your appointments. Also, have you discussed this with the surgeon who operated on you? He should not have any problem with you seeking other opinions since you are...
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+1
Nose too small
Research results of various doctors. I believe in emergency cases like this early surgery is doable and even advisable for the psyche....Perhaps fat injections can elarge the nose enough so you wont feel so nasally amputated..
+1
Timing for a Revision Rhinoplasty
One of the many key elements in revision rhinoplasty is that you have to wait at least 12-15 months after the primary rhinoplasty to allow for normal wound healing and to see the true secondary deformity. One needs to see what the final result will be from the deformity and to allow for normal wound healing. If one operates much earlier then scar begets scar and you have a further exaggerated poor result. I have seen this time and time again as I do a significant number of secondary...
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+1
ARTISTIC RHINOPLASTY
RECOVERING FROM RHINOPLASTY CAN BE A TOUGH TIME FOR ALL PATIENTS... EVEN THOSE WITH GREAT RESULTS... DUE TO THE SWELLING THAT CAN OCCUR WITHIN THE FIRST FEW WEEKS.
IT CAN TAKE MONTHS TO SETTLE UNTIL YOU SEE THE FINAL RESULT. BEST TIME FOR REVISIONARY SURGERY IS ONE YEAR .
THERE ARE SOME SURGEONS THAT WILL OPERATE ON A NOSE AT 6 MONTHS IF THERE IS A SIGNIFICANT OBVIOUS DEFORMITY THAT NEEDS TO BE CORRECTED. THIS IS RARE THOUGH AND NOT GENERALLY RECOMMENDED.
THERE AR
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Kimberly A. Henry, MD
Greenbrae Plastic Surgeon
Greenbrae Plastic Surgeon
+1
Do not give up hope! Take several deep breaths and do your best to allow your nose to heal.
Do not give up hope! Take several deep breaths and do your best to allow your nose to heal. I usually recommend waiting at least 9 - 12 months before even considering revision rhinoplasty surgery. At that point, once the healing is complete and you have a true sense of what your final result will be, you can then consider modifications. Try to remember that you are always your own worst critic. Others may not even notice the untoward results that are bothering you. Hopefully, these concerns...
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+1
What to do after a bad rhinoplsty result
Reconstructing a nose after a poor result is almost a specialty in itself. There are many techniques that are used to repair the damage, of ten with cartilage grafts, and every nose is different. I suggest that you see a surgeon certified by the American Board of Plastic Surgery who specializes in redo (secondary) nose surgery.
Howard T. Bellin, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
You may be a candidate for a Non-Surgical Rhinoplasty to improve the appearance of your nose after previous Rhinoplasty Surgery.
You would be surprised how much improvement you could see with Injectable Filler treatments to your nose, especially since your nose is small. An over-resected bridge can easily be filled, and this is likely only going to make things better.
You may want to proceed with Revision Rhinoplasty one day, but you should leave that option as a last resort.
Feel free to post photos for the RealSelf community of experts to evaluate so you could get as much input as possible.
Regards from NJ.
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