Rhinoplasty restoration - could I restore old nose features/derotate my nose without grafts? (Photos)

Question

Updated: I have had a rhinoplasty that I wish I could go back from. Although I can see myself that my doctor did not do much, I am not liking the changes at all. He had rotated my nose a bit which took away my point in my columella and moved my nostrils just a bit, I had Went from a pointy flatter nose to a round one. Is there anyway I could restore my features from my old nose? I just want my flatter pointy nose back. Is there possibility that I can derotate my nose without grafts? Being that my doctor did not do to much overcorrecting? I would not want my nose to be harder than it is.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear that you're unhappy with the results of your rhinoplasty. Reversing the changes and restoring your previous nasal features may be possible, but it depends on various factors such as the specific alterations made during surgery and the condition of your nasal structures.

To restore your flatter and pointy nose, revision rhinoplasty may be required. Grafting may be necessary to achieve the desired outcome, especially if there was significant alteration or removal of nasal cartilage or structures during the initial surgery.

During a revision rhinoplasty, the surgeon would work to reshape and reposition the nasal structures to recreate the previous aesthetic you desire. This could involve techniques such as cartilage grafting, tip refinement, or modifications to the nasal bones.

It's important to consult with a skilled and experienced plastic surgeon who specializes in revision rhinoplasty who can evaluate your specific situation, listen to your concerns, and develop a tailored surgical plan to address your needs.

I hope this helps,
best of luck !

Ali Sajjadian, MD, FACS · Answer

Thanks gduy_helpplz for your question! It's understandable that you're disappointed with the outcome of your rhinoplasty. Morever I see that based on your description of the results, the changes were minor. A number of variables can affect a surgical procedure's success, and occasionally the intended result is not obtained.
Some of the alterations performed during your rhinoplasty, such as derotating your nose, can be undone. However, the feasibility of doing so without grafts depends on the specific changes made during your initial surgery.
A skilled Board certified Plastic Surgeon can evaluate your unique situation and choose the best course of action to get the outcomes you want. They will take into account elements like:
-What would be the ideal proportion and ratio that would make the final result appear natural looking and harmonious.
-The magnitude of the first modifications: How much cartilage was removed or  altered, and how much rotation was done.
-The condition of the residual tissue: The possibility of reshaping might be influenced by the suppleness and general health of your nasal tissues.
-Your general facial equilibrium: To guarantee a harmonic result, the surgeon will take into account all of your facial features.

Depending on the particular situation, your surgeon could think about A more thorough treatment called revision rhinoplasty entails reshaping the nose to address a number of problems, such as nostril location, nasal bridge form, and tip rotation.
In certain situations,  cartilage grafts could be required to give the nose tip stability and structure. This may aid in regaining the appropriate projection and form.   
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philospphy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
 
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian 
TRIPLE Board Certified Plastic Surgeon

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.If you want to change the tip of your nose I recommend you a revision rhinoplasty surgery. Anyway, please keep in mind that you will most probably need cartilage (from ear or rib) to reshape it the way you want (if there is not enough cartilage left inside the nose).
Best regards!

Eric M. Joseph, MD · Answer

That said, evaluation of photos on the operating room table are limited. Generally speaking, there are no procedures to get your old nose back. In that regard, please consider re-asking your question with upright before and after photos so we can give you better advice in so far as achieving a flatter nasal appearance. I hope this will be helpful. Sincerely, Dr Joseph

Mustafa Bagli, MD · Answer

I am deeply sorry that your first surgery didn't go well. Your case is another example of how important communication is for aesthetic surgery. Let's talk about your current nose instead of stuck in the past:The tip of the nose can be less round and thinner but without cartilage that is not possible. Since the material we use to reshape the nose is cartilage and in your case, we need to reposition your tip we will ned cartilage.I prefer ric cartilage in these cases,I am adding a video about rib cartilage will can be helpful

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