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Revision rhinoplasty 2019 - Best course of action for my graft-filled Frankenstein nose? (Photos)

KSyl1718Dec 27, 2025
I had a revison rhinoplasty in 2019 that went horribly wrong. I asked for minimal changes: a slight curve in my side profile, and a very slight refinement to my naturally long/pointy tip. The doctor instead did a complete overhaul of my nose. He narrowed/raised the bridge 2-3mm, and placed lateral and alar grafts at the lower half of my nose. As a result, my nose looks considerably larger/asymmetrical, and totally alien to my natural proportions. I still deal with unremitting, severe swelling. The biggest issue: the right lateral graft protrudes out and forward. When I press in on it, it sounds like there's a bunch of water inside (like a smacking, wet sound). What could the issue with this right lateral cartilage be? Also, what overall can be done to rectify this billowing, sausage-like look to the middle area of my nose? I don't want perfection, I just want to recognize myself in the mirror again.

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Dec 30, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. There are several options that could make your nose appear less pinched, which could be performed during a revision. Additional pictures and evaluation would be helpful. With good surgical technique, you could have an outstanding result. I recommend that...

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Mark K. Markarian, MD, MSPH, FACS

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone I agree that you can benefit from a revision to your dorsum, in addition to tip refinement. The question is how to do address the dorsum and your implant -- my experience in Gore-Tex (or...

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Mark K. Markarian, MD, MSPH, FACS

Short answer -- Yes. Long answer... There are grafts that move the nose closer to the lip (aka "de-rotating" the tip). I typically perform this by creating extended spreader grafts, locked into a columellar strut to maintain the tip at tension, and thus at the appropriate length. This...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It is possible to remove the SEG and replace it with a softer graft. I never recommend using ear cartilage as it lacks structural integrity needed for this type of graft. There are much better options available depending on your anatomy.. With good surgical...

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Bianca Knoll, MD

Thank you for asking your question. Generally, I would say, yes that is possible. One may need some additional cartiladge grafts, to change the narrowness of your tip - depending on, what was done during the intial procedure. One thing to keep in mind, revision rhinoplasty will not able to...

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