2nd revision needed? Asymmetrical with deviated septum (Photo)

Question

Nose job over 20yrs ago. Was symmetrical and nice but cartilage showing through so I had a revision. Now is asymmetrical with deviated septum. Not sure what happened here and wondering if a 2nd revision is advised or if I'm being overly critical like I was in the first revision. My dr is no longer in practice. I'm terrified of making another mistake . I'm looking for confirmation that something is not right here and if a revision could help or if this is as good as it gets for me

Tyler Okland, MD · Answer

This absolutely should be revised. There is severe asymmetry of the tip and over-rotation, which should be addressed.
Rhinoplasty techniques have advanced more in the past 20 years than any other cosmetic procedure. I do recommend you have your revision with a facial plastic surgeon who specializes in revision rhinoplasty. This is absolutely not a procedure just any plastic surgeon can do, it requires finesse and expertise. 
Your surgeon will likely require cadaveric cartilage or your own rib to re-build your nose and create lasting definition, which is standard for revision cases. Hope this is helpful!

Eric M. Joseph, MD · Answer

Feasibility for determining whether or not revision surgery is appropriate is largely dependent upon someone's examination. You appear to have thin nasal skin and your columella appears to veer to the left. This could be associated with the deviated nasal septum to the right. I think it's worth Consulting with several reputable rhinoplasty specialists since the extent of surgery necessary would need an in-person evaluation. Wishing you well. Sincerely, Dr Joseph

2nd revision needed? Asymmetrical with deviated septum (Photo)

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2nd revision needed? Asymmetrical with deviated septum (Photo)

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Everything you need to know about Revision Rhinoplasty

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