Bridge of nose was filed down too much - is there any way to successfully revise it? (photos)

Thank you for your question and the photos you provided. It is advised that patients wait one year after initial surgery to consider a revision to ensure all lingering swelling has fully subsided. If at that time you’re still unhappy with your results, a revision rhinoplasty can be considered to address your concerns.
When performing a cartilage graft, there are multiple techniques that can be implemented to create a properly angulated, balanced, and well-defined nose shape. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your surgical history and suggest the best course of action for helping you achieve your aesthetic goals.

Hi @ttv24. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of Luck,

Dr. Nima

This is an incredibly challenging problem to fix. The nasal bones have been narrowed too much and/or the bony part of your nose collapsed on itself. I would find a surgeon who specializes in revision rhinoplasty before proceeding with another surgery. I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.

Hi and thanks for the question! In this case, I would recommend a revision rhinoplasty with cartilage grafting (spreader grafts) and the nasal bones will have to be rebroken and re-set. As with any cartilage grafting, there is an art to it to make sure you use enough to give structure and support without making the graft too wide causing a bulky appearance. Best of luck!

Thank-you for your query. The bridge of the nose being too narrow after surgery, is best improved by fillers. I understand you prefer something more permanent, but this, in my opinion is the safest option. Fortunately, fillers in the nose tend to last longer than at other places. I have also had success with fat grafting in these situations, although it has to be done very carefully, as there are risks involved especially when done by surgeons not experienced in this procedure. Another option is using PDO threads. Surgical restoration of the width would involve using crushed cartilage grafts which may lead to the problems your surgeon has discussed, but is certainly an option if the present situation is unsatisfactory for you and you want a permanent solution. Please discuss and consider different options with your surgeon. All the best!

Revision rhinoplasty is a more complicated surgery then primary rhinoplasty, so it would be advisable to consult with a board certified plastic surgeon with decades of experience with revision rhinoplasty surgery. I would also recommend you wait for the nose to fully heal, which takes approximately 12 months. There is a strong possibility that your issue could be helped with cartilage grafts but a physical exam would be necessary to determine the right procedure. Cartilage grafts do not have to produce a too-thick bridge; with precision and skill, they can correct without over-correcting.

Hello. Everything that is not planned and done correctly has risks and unhappiness in the end. Do not worry, if it is planned well after revision nose surgery, no such thickness will occur. If the required amount of cartilage is placed, there will be no thickness. But I want to say more importantly, your nostrils make you look nervous. This was also present before the surgery and was not solved, I think you should take a look at this. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Hi there! When a hump is removed, depending on the size, an open-roof deformity is created which needs to be closed via osteotomies. When the bones are pushed to the midline too aggressively, it can create a pinched effect. This can be very challenging to correct. Camouflage grafts over the top of the nasal bones are often employed, though the risk of asymmetry can be difficult to avoid. Refracturing the bone and placing spreader grafts can work, but you have to be careful about causing instability of the upper third of the nose. Onlay grafts are another options. Improvements can definitely be made. Hope this helps!

Much more information is needed, and you need to clarify which is the before picture and which is the after Picture. Also need to post a full set of photographs currently from all angles, since the nose is a three-dimensional structure, and changes occur in three dimensions when performing a rhinoplasty. It's also important to know how much Cartlidge is left over on the inside of the nose, so best to obtain operative report find out what was accomplished in the first procedure. Also important to wait at least one year before embarking on another procedure.