Will I need revision as nose looks exactly the same after revision rhinoplasty? (Photos)

Question

I got a revision rhinoplasty almost 7 months ago. The doctor placed a cartilage graft in the tip, but my nose looks EXACTLY the same. The picture (wearing eyeliner) is November 1, 2020. I had surgery on December 1, 2020. The doctor said she was placing the graft in to keep my nose straight because my columnella was hooking sideways. I wanted an overall smaller nose and no hanging columnella. Nothing drastic. Will I need a revision? I can’t see my nose getting much smaller.

Jonathan Kulbersh, MD · Answer

Thank you for your question and detailed explanation. Revision rhinoplasty is not generally recommended prior to one-year post-op as the ultimate results may change over that period of time. However, if you are still unsatisfied with the appearance at that point, a revision rhinoplasty can reshape the nose to reduce its size and provide a symmetrical aesthetic. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can listen to your concerns as well as your preferred results.

Waleed Ezzat, MD, FACS · Answer

Thank you for your question. Since it has been over one year since your first rhinoplasty, you can consider your nose healed and evaluate whether or not you have achieve the goals you were setting out for. If you feel goals haven’t been achieved, then I would seek out a board-certified specialist with extensive experience in revision rhinoplasty for a second opinion.

Having performed many of these procedures, I know how daunting it is for individuals to consider a revision procedure. But do your research and seek out multiple consultations. I would proceed with the surgeon who you are most comfortable with.

Hope this helps,

Dr. E

Akshay Sanan, MD, FACS · Answer

Dear Revised2022,
Thank you for uploading your photos and your insightful question. You are 7 months from your revision rhinoplasty, I would wait a full year before making a decision on pursuing another revision. At that time, I would recommend seeking consultation from board certified facial plastic surgeons who do rhinoplasty and revision rhinoplasty and to see if they understand your desired aesthetic goals and if they think the goals are achievable. Revision rhinoplasty is a massive emotional and physical undertaking and I congratulate you for being brave about your journey. 
All the best,Dr. Sanan, MDDouble board certified facial plastic surgeonLos Angeles, CA

Will I need revision as nose looks exactly the same after revision rhinoplasty? (Photos)

Answers (3)

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