Narrow nasal side bone & upturned tip - will my nose look natural if I do revision rhinoplasty? (Photo)

Question

Will my nose look natural if I do revision rhinoplasty? I did my rhinoplasty 7 months ago and I’m not satisfied with the result. I end up with a narrow nasal side bone from the top and big upturned tip. I searched to know what my nose need as revision rhinoplasty to look natural and I thinks it need 1- re-widen nasal bridge using spreader graft 2- down the upturned tip 3- elevate (augment) nasal bridge alittle bit But my question is can both ear cartilage be enough? Or rib cartilage is a must in

Donald Groves, MD · Answer

Hello and thank you for your question. After rhinoplasty (nasal surgery), the nose can become REALLY swollen, particularly around the tip, and this swelling can take a LONG TIME to resolve (up to 2 years to fully resolve). Also over the 2 years after a rhinoplasty, partially due to the swelling, the nasal tip tends to be a little more over-rotated than the final result will be. I would recommend that you continue to observe things for now. 
Steroid injections can help with the swelling in some areas, such as the supratip. You are still only 7 months post-op, so ultimately you should still wait to see what your final results will be. Sometimes there are focal asymmetries and depressions which become visible over time as the post-op swelling resolves. My preference is to address these areas with dermal fillers, particularly if it is before the full 2 years post-op. Fillers are a quick, easy, minimally invasive, and very effective method for smoothing out any focal indentations to make the nose more symmetric and improve the overall rhinoplasty result. Of course they have to be periodically reinjected, as they naturally dissolve over time (usually over a year or so). The alternative is a full blown revision surgery, which is much more invasive. I constantly remind all my rhinoplasty patients how important it is to be patient after rhinoplasty surgery as it can take up to 2 years to see what the final nose will look like. I would not advise you to consider a revision operation prior to that time, especially if you are happy with the results achieved with fillers and after all the swelling has completely resolved. I hope this helps! 
Best Wishes, 
Dr. Donald Groves 
Plastic Surgeon

Lexie Wang, MD · Answer

It depends on if you have any more cartilage in your nose. If they did a septoplasty, you probably don't have enough cartilage in which case you most likely need rib if you needed something as big as a spreader graft or a dorsal augmentation graft. However, with you only being 7mo out, it's possible that the tip is still swollen and may narrow more.

Narrow nasal side bone & upturned tip - will my nose look natural if I do revision rhinoplasty? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Revision Rhinoplasty

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

Narrow nasal side bone & upturned tip - will my nose look natural if I do revision rhinoplasty? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

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