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

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.

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!

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.