Concerns about rhinoplasty to fix broken nose - graft, open roof deformity, possible revision? (Photos)

Based on the last three photos that you posted, I do not see an open roof deformity. You may have a slight indentation along the right side wall of your nose, however, if that is not what's bothering you, you have an overall pleasing nasal appearance on front view. If you decide to visit another surgeon, it may be helpful if you could bring pre-operative photos with you, along with your operative report. I hope this will be helpful for you moving forward. Sincerely, Dr Joseph

...but you'd certainly need an in-person exam by someone who's expert enough to be able to figure that out for you. If your surgeons say no more can be done, then don't push them into doing something -- it won't work out well. Get another opinion.

What could the answer be? Maybe moving the bones, adjusting the graft, some other modifications, maybe there are other parts of the nose you'd like to change as long as you're having another operation.

But the bottom line is that you can't know without another visit. And it seems pretty clear that a surgical solution would be beyond the skill of the average rhinoplasty surgeon, so be careful before shopping it around.

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Stabilization of the dorsum and improvement dorsal aesthetic line symmetry can also be accomplished. 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