Bad nose job - how to fix an over-scooped nose when I go for a revision?

Question

I am a male, 8 months post-op, who had a rhino+septoplasty. My surgeon and I discussed having a slightly concave dorsum, but instead it was extremely scooped, right down the dorsum, AND scooped around my radix. I now have a small, short nose and no nose bridge. What are my options to fix the large scoop and the low radix? I'm not sure how much septal cartilage I have left. Could ear or rib cartilage be used to sufficiently augment an overly concave dorsum and low radix? Thank you for your time.

Jeremy Hunt, MBBS, FRACS · Answer

Hi,The issue is that there is not enough volume and support for the dorsal skin of the nose and it is following the scooped out line of the present cartilage.Options are going to to use your own tissue, be it septal.ear, or rib cartilage, or a foreign material such as medporeMy impression, and without photos , is that as a man you will significant volume and a rib graft rhinoplasty will be the best option. The decision though needs a full history and examination and at the moment is best left in the hands of your Plastic Surgeon.Jeremy Hunt

Peter Callan, MBBS, FRACS, MBA · Answer

Hi there.  The answer depends on what is left to use and how scooped the nose is.  Rib is the answer for most, but if there is sufficient septum that can be used, and even temporalis fascia with or without diced cartilage.It can be fixed, but it is important to see the entire nasal balance first (dorsum, tip).

Bad nose job - how to fix an over-scooped nose when I go for a revision?

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