17 years post-op- Am I a good candidate for a revision rhinoplasty? (Photos)

The decision to undergo rhinoplasty is a strictly personal one, as only you can weigh the pros and cons of the recovery and financial aspects relative to how much the nasal appearance bothers you. A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Looking at computer-morphed images with your surgeon during consultation will give you a good idea of what is possible, and also give you a great chance to convey to your surgeon what you envision. @drdonyoo

Hi @Intellectual429811. Thank you for sharing your photos. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Thank you for your question. First, let me start off by saying you are not alone. Surgeons who do quite a bit of revision rhinoplasty, such as myself, completely understand where you’re coming from. You’ve already gone through one procedure and the disappointment you feel serves as a roadblock to even think about a secondary procedure. So first let me say, congratulations for getting this far in the thought process.

It would appear that you could benefit from a reduction in your tip projection and de-rotating and lengthening the nose. This is possible and can be done with still maintaining the function of the nose. However, a definitive answer and the techniques that can be used to accomplish this can only be fully answered after a full clinical evaluation.

I would recommend seeking out a board-certified specialist who has extensive experience in revision rhinoplasty. Find someone who you are comfortable with. Your healing time will likely be two years to fully see results, so the comfort with whoever you go through surgery with will be critical.

Best of Luck,

Dr. E

you do not appear to be over-resected, and you are certainly shortened and over-projected... tip adjustments for projection are generally achieved bu 'tongue in groove' techniques over the caudal septum or septal extension grafting ... sometimes adjustments in the tip cartilage are made in addition to fixing them in a new location

good luck

Dear Intellectual429811,Thank you for uploading your photos and for the well thought questions. First, I am sorry you are unhappy with your primary rhinoplasty results. Rhinoplasty is considered the most challenging plastic surgery. I understand your sentiments and concerns about your nose. It appears your bridge was lowered too much, which also highlights the over-projection of your tip. What is also challenging is that you have thick skin. This will limit how much deprojection you can acheive. It is best to see a board certified facial plastic surgeon with revision rhinoplasty experience, but also with experience with thick skin patients. Based on your image review, I believe using rib cartilage to increase the height of your bridge, to lengthen your nose, and deproject your tip will give you a more harmonious nose. That being said, healing time for revision rhinoplasty takes 18-24 months. It is a journey and you have to trust the healing process, so it's important you feel comfortable with your surgeon!I hope this helps answer some of your questions!All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA