Rhinoplasty 2021. Break in dorsal aesthetic lines and uneven nostrils - can this be improved? (Photos)

Question

I had my rhinoplasty completed in 2021 In Philadelphia. I am no longer in the same area as my surgeon, but I am not 100% happy with my results. The break in my dorsal aesthetic lines is only very noticable in certain lighting, but I am not happy with the appearance. I also now have uneven nostrils and did not have that before. Am I being unrealistic about my expectations for my results?

Philip S. Schoenfeld, MD, FACS · Answer

The rhinoplasty result you have is very acceptable.  It is not the nose that I typically create as it is a bit too sloped and rotated for me but like I said, very acceptable.  If you would like to see what some mild changes to the dorsum would look like without undergoing another surgery you may want to explore non surgical rhinoplasty with an experienced rhinoplasty surgeon who also can perform injections to your nose.  I think you would like the result and then can decide how you would like to proceed.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. This can be designed to improve the symmetry of your dorsal aesthetic  lines as well as improve nostril symmetry. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

Your photographs demonstrate several different issues that occurred after your surgery, including an inverted V. deformity, an overly rotated nose, and a hanging columella. Revision rhinoplasty is more difficult than a primary rhinoplasty, so choose your second surgeon very wisely based on extensive experience. It would also be important to know how much cartilage is left over on the inside of your nose for grafting purposes, so a copy of the operative report would be helpful.

Rhinoplasty 2021. Break in dorsal aesthetic lines and uneven nostrils - can this be improved? (Photos)

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Everything you need to know about Revision Rhinoplasty

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Rhinoplasty 2021. Break in dorsal aesthetic lines and uneven nostrils - can this be improved? (Photos)

Answers (3)

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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.