Can my tip be shortened? And is it safe as I’ve already had two rhinoplasties? (photos)

Revision rhinoplasty will certainly be able to reshape and create more definition to your nose. 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

From your photos, both your tip is too long and your bridge is too flat. You can ideally correct the nose by just bringing the tip in. You have to do that as well as bringing the bridge out some. That will create a much nicer balance while still being able to define the tip. Be sure to see a rhinoplasty expert for consultation.

Hello,
I am a revision rhinoplasty specialist based out of Beverly Hills. I see your concerns and they can definitely be addressed with revision surgery. Your case is very complex. My goal would be to straighten the nose, fix the irregularities along the bridge, and address the issues at the tip of the nose as well. We can address issues skin thickness as well.

I would like to know if the surgeon who performed the second rhinoplasty is an expert at revision-rhinoplasty surgery. Performing a primary rhinoplasty (meaning: a patient’s first rhinoplasty) is very different from performing revisionary surgery for myriad reasons. Revisionary surgery is complex because there is scar tissue to contend with, as well as the patient’s own anatomical limitations and then the prior-surgeon’s decisions that need to be corrected! It appears that improvement could be made in your case, but an in-person examination would need to first take place to be certain. I would focus on bringing harmony to you by de-projecting the tip and making it aesthetically appropriate and confluent. Keep in mind that with every surgery come risks, so please do your research to find an expert in revision rhinoplasty who has decades of experience.

Thank you for your question. Yes, it is possible to revise your nose to make it less projected, as well as camouflage the cartilage you see in areas with thin skin. There are a few other changes that I would recommend as well. It is crucial, especially in revision rhinoplasty, to reinforce the nose to resist contractile forces of scarring. Revision rhinoplasty presents unique challenges, so please seek out a surgeon who is very comfortable with this procedure. All the best.

Clarissa-
Thanks for your question and your photos. The short answer is, "Yes" you are likely a candidate for further revision to correct your over-projected and asymmetric tip, along with correction of other contour irregularities beneath the skin. However, with each surgery adds complexity and necessary skill to achieve the result you desire - and to avoid a fourth surgery! Please schedule a consultation with a board certified facial plastic surgery that has extensive rhinoplasty experience. You will need an in-person exam to help identify what is realistically possible and discuss the potential risks and approaches to correcting your nose.

Based on your photos, you appear to have a pointy and overprojected nasal tip appearance. The feasibility of surgical correction would require an examination, and we would also review your before photos and operative reports to help determine your candidacy for a third nasal surgery. Wishing you all the best moving forward. Dr Joseph

It appears that you have what we call and over projected tip. Yes, it can be brought closer to your face. You have other issues that are caused by the skin shrink wrapping around your nasal cartilage. You should see an expert in rhinoplasty for a full examination where they can feel your nose, the structures under the skin and determine the best treatment. But, yes, your nose can be made to better fit your face.