Crooked nose years after rhinoplasty - what are my options? (Photo)

Question

I had a Rhinoplasty in 74’ over the yrs it has become so crooked, I don’t breathe correctly. I look horribly twisted. embarrassed to even leave the house. I’m white 160 lbs 62 yrs old. I also have Bell’s palsy since 2001. I’m looking for a second opinion

Nima Shemirani, MD · Answer

Hi @Sincere501618. I recommend seeing a revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination.  A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Jonathan Kulbersh, MD · Answer

Thank you for providing your question and photos. Revision rhinoplasty is likely your best option for straightening your nose while improving asymmetry. This may include reshaping and resizing the nasal structure to bring it into balance with the rest of your facial features. 
There are a few common areas that need to be examined to determine the cause of your breathing difficulties, such as the septum, turbinate, and nasal valves. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a more thorough examination, assess your surgical history, and create an individualized plan to help you achieve your aesthetic goals.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! You have quite the deviation. In the past, much of rhinoplasty was performed in a reductive fashion meaning structures were removed to make the nose thin and appealing with little thought to the long-term changes which could occur without support. A revision procedure in your case would be focused on improving the straightness and breathing. This is often accomplished via an open approach using structure. If your septum is gone, then rib cartilage would be the next best option since it is lasting and strong depending on the level of calcification. Your breathing should improve with these changes. Seek consultation with a surgeon who's competent in revision rhinoplasty. Hope this helps you!

Crooked nose years after rhinoplasty - what are my options? (Photo)

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Crooked nose years after rhinoplasty - what are my options? (Photo)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.