Unhappy with January 1st, 2015 Tip Plasty. What can I do in terms of revision? Estimated Cost? Recovery Time? (photos)
Doctor Answers 6
I'm sorry to hear about your experience elsewhere. The best recommendation is to have a thorough evaluation of the inside and outside of your nose with a board certified specialist who can help you achieve the results you seek. 3-dimensional computer imaging can also help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
Small nose, nasal contour, visible columella
To cut to the chase, cost will be dependent on where you have your surgery. There is a wide geographic variability that is also impacted by the facility where the procedure is performed. You are looking a a cost of from $10,000.00 to $25,000.00. I suspect that in the L.A. area your cost will be in the range of 18 -25 thousand. Each of your concerns can be addressed. You need to look at a rhinoplasty as creating a nasal contour that is symmetric and confluent from the brow to the tip and that does not look like surgery has ever been performed. Your columella can be raised, the tip can be refined and the dorsum can be maid more symmetric. Good luck Jenny
Revision rhinoplasty for a more defined and natural looking nose.
A revision can improve your nose to give you a much better result. See a very experienced revision rhinoplasty specialist who can ascertain the issues that bother you so that this time you end up with the nose you want. An examination is necessary to feel the structures of the nose and then discuss with you what can be done to remedy these issues. Look at the surgeons before and after gallery and you should see many photos of the surgeons work.
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Unhappy with January 1st, 2015 Tip Plasty. What can I do in terms of revision? Estimated Cost? Recovery Time?
Hello jennyhxoxo - Thanks for your question. It appears as though your tip is still too big when compared to the rest of your nose. Revision tip rhinoplasty seems like a reasonable request at this point. You will definitely need rhinoplasty simulations to make sure that the surgeon that attempts to improve this result has the best chance to succeed. 40% of the rhinoplasty procedures I perform are revision rhinoplasty surgeries. Patients need to have realistic expectations prior to surgery and I believe that simulations help the surgeon "see" what you see to better guide you. Asymmetries are normal and natural, and there is no such thing as true symmetry. I will say that refusing to take pictures is a bit worrisome. From an outsiders perspective, your nose doesn't look as bad as you make it out to be. A little time with a therapist prior to revision surgery will help get you in the best headspace to tackle revision surgery. It is very common for patients of unsuccessful cosmetic surgery to be traumatized by the whole experience. Looking at the results of your surgery, I would bet that you had malposition of your lower lateral cartilages (tip cartilages), and that your surgeon handled them in the typical way when trying to reshape your tip. The problem is that most patients develop alar retraction and worsen any columellar hang, which is what you seem to experiencing. This is something that can be repaired, but I encourage you to do your homework and find an expert in revision rhinoplasty for your surgery.
You are a candidate for a revision. The tip can be refined but it depend on how thick the nasal tip skin is. Also, removing the muscle in your nose that causes it to dip when you smile is fairly straightforward. Seek out a consultation with a board-certified expert in revisions. Best wishes.
Revision rhinoplasty procedure.
Since it has been over a year, it is possible to consider undergoing another rhinoplasty procedure.. It's important to know how much cartilage is left on the inside of the nose for potential grafting purposes. Thick skin in the tip of the nose can be an impediment to seeing refinement in that area. Releasing of the depressor septi ligament will help prevent the tip from drooping when smiling. The hanging columella can also be reduced. Depending upon how much cartilage was taken out of the tip initially, suture techniques or conservative cartilage removal can help improve the aesthetics of the nasal tip. For more information and many examples including our current price list, please see the link and the video below
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