Had my original rhinoplasty by a very nice plastic surgeon in Dallas in 2005 with suboptimal results (see photos). Had a revision rhinoplasty 5 days ago by Dr. Cecil Yeung in Houston TX. My only regret is not going to Dr. Yeung originally. Had he done my original rhinoplasty I would not have needed a revision. The doctor in dallas was very nice and I prefer not to name him. Dr. Yeung specializes in facial plastics including rhinoplasty, revision rhinoplasty, facelifts, blephs and other things as well. He is an amazing surgeon and produces amazing results. I am a physician in Houston and recommend Dr. Yeung for any plastics procedure as in my opinion he is one of the best facial plastic surgeons in the entire country. After my first rhinoplasty I was left with a bulbous tip, my tip was rotated significantly to the left and from a profile view there was still a slight hump in the middle and the tip projected to far out. Dr. Yeung corrected all of these things and did an amazing job. Updated on 24 Jun 2014: The few days post op weren't bad at all. Pain was very minimal. I had pain medications just in case but honestly I would have been fine with plain tylenol (I have a notoriously low pain threshold so I was surprised at the minimal post op pain!). There was of course some swelling and black eyes which was to be expected, but it was much less than I had expected. Honestly apart from the looks I feel like I could have gone back to work the next day! Dr. Yeung had to take some cartilage from my right ear (other sources had been depleted with the first rhinoplasty). The pain from this was minimal as well, I just couldn't sleep on the right side for several days. Updated on 25 Jun 2014: Her are my before and after photos from my original rhinoplasty in 2005. I also had genioplasty performed at the same time (permanent alternative to chin implant). Genioplasty aspect was fine, but looking at the before and after photos from the rhinoplasty I now realize the plastic surgeon in Dallas didn't really do much. The post op photos are only a few months after my surgery, therefore there was still some swelling that does a good job of masking what the final result was. For the final result see my preop photos prior to my revision rhinoplasty. In my opinion my nose looked overall either the same or maybe slightly worse? The genioplasty aspect of it looked great and therefore overall I felt like my appearance had improved (solely because of the genioplasty/chin) Updated on 25 Jun 2014: For my original rhinoplasty the first plastic surgeon I saw actually referred me to a plastic surgeon in dallas who "specialized" in rhinoplasty. The thing I learned from this experience- for rhinoplasty make sure the doctor is board certified in FACIAL PLASTICS. These doctors have completed an ENT (Ear nose and throat/otolaryngology) residency in addition to a facial plastics fellowship and they should be board certified in facial plastics. "Memberships" to various groups (rhinoplasty associations, facial plastics associations etc) mean nothing. Make sure the physician performing your rhinoplasty is board certified in facial plastics and completed a facial plastics fellowship. The doctor who performed my original rhinoplasty was indeed a board certified plastic surgeon, but was not board certified in facial plastics. It took me 10 years (and a medical degree) to realize how important this is. Updated on 25 Jun 2014: Here are photos without makeup, one week after surgery. Very little swelling, the black eyes are super easy to cover up with makeup. No more swelling around the eyes. Updated on 28 Jun 2014: Finally got the steri strips off today. Still with a little swelling but my nose looks amazing. Absolutely perfect. I wasn't expecting it to look this amazing. Dr. Cecil Yeung is truly an incredible surgeon. For a revision rhinoplasty to turn out so perfect is incredible. With makeup on you can't even tell I had surgery last week. Thank you dr. Yeung. I will post more photos in a couple of months with the true end result. Updated on 22 Dec 2014: So what I've learned is that in the weeks following a nose job, even bad nose jobs look great. This is because of the tissue swelling. The real test is what the nose looks like at 6 months and then a year after. Here are my 6 month post-op photos. I couldn't be happier! There is still a tiny bit of swelling in my previously bulbous tip--I expect this to go down as well over the next few months. Again, I can't recommend Dr. Cecil Yeung enough. I never dreamed my nose would look this good, especially with it being a revision rhinoplasty.
Both your nose and lip can be fixed with surgery, but be sure you consult a skilled surgeon who can give you a very thorough explanation of how the nose will be resculpted. Your sinus surgery may be combined to help with breathing; your best bet is to find a surgeon who is also vetted in sinus surgery. Good luck!-Dr. Yeung
Alarplasty is not going to fix this nose elegantly. The problem is not the alar; the dorsum is low and tip projection is inadequate. The nasolabial angle is less than 90 degrees, which is less than ideal. Correct these issues, and the alar and nostril shape will be better overall. A high-end surgeon that can help these issues turn out aesthetically attractive will run you $7,000- 8,000.
