Is a minor revision worth it/necessary? (Photo)

Hello, hope you are well. Thank you for submitting your photos and questions. It looks like you posted 2 postop and 2 preop photos. The most noticeable aspect of the asymmetry in the postop photo is the difference in the height of the alar rim on the A-P "head-on" view. There are low risks methods to improve this without needing to fully re-open the nose and introducing a significant possibility of worsening things. I think it very reasonable to explore those options with your surgeon.
Best,Dr. Tower.

Thanks anniestudyhall for your question . Even if the surgery is only a simple correction, it is quite normal to be anxious about having another operation. Although there are hazards associated with every surgical operation, it's crucial to balance those risks against any potential advantages.
Here are some things to think about:
-The expertise of the surgeon: Trust is essential. Make sure you have total faith in the expertise and experience of your surgeon.
-Open Communication: Talk to your surgeon honestly about any worries you may have. A skilled surgeon will answer all of your questions and will be kind and patient.
-Evaluate some of before and after rhinoplasty photos done by your surgeon.
-The Extent of the Revision: A minor revision typically involves smaller adjustments and is less invasive.
-Realistic Expectations: Understand the limitations of the revision and what can realistically be achieved.
Possible Hazards are:
-Scarring: Although scarring can occur after any surgery, it's usually minimal, particularly after a small revision.
-Infection: Although there is little chance of infection, it is crucial to carefully follow post-operative care guidelines.
B-reathing Problems: Rarely, a revision may cause breathing problems. A competent surgeon will, however, reduce this danger.
Ultimately, the decision to undergo a revision is a personal one. If the potential benefits of a more symmetrical nose outweigh the risks, and you're confident in your surgeon's abilities, it may be worth considering.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. It depend on you, if you are happy and not concerned much about the nostrils leave them.

The base view of your nose is the least important view. On front view, you're right nostril margin appears a drop higher than your left. Rather than undergoing revision surgery, Microdroplet Silikon-1000 injections maybe considered to lower your right nostril margin for improved symmetry on front view. I hope this helps! Sincerely, Dr Joseph

If you are okay with the result, then no need to do a surgery again. If you really want to improve some asymmetry, slight columellar deviation can be improved by revisional surgery, whose risk can be nearly zero. Columellar deviation is one the main reasons of nostril asymmetry from basal view.

Thank you for submitting your question and photos. Since your concerns are minor and you’re mostly satisfied with your results, your may want to consider a liquid rhinoplasty to slightly alter your nose’s appearance. This treatment option uses hyaluronic acid dermal fillers to temporarily correct asymmetries without surgery, producing results that can last for a year or longer in many patients. If you’re still unsatisfied with your nose’s appearance over time, your nostril symmetry can be improved with revision rhinoplasty.

When considering a revision, please keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques, or an expert injector. They will be able to review your treatment history and concerns to help you decide on the best course of action.

Greetings from Istanbul! The asymmetry does seem very minor and seeing how you're happy with the results, my recommendation would be to not get a revision. Best of luck to you.

There is always a risk of having a new imperfection or residual imperfection. The outcome is greatly dependent on your surgeon's skills and partly on your healing process. Your level of dissatisfaction with your current result should be the driving force whether or not you entertain a revision surgery. Imperfections are normal and to be expected, though, at least to some extent.

Best wishes,
Thomas Walker, MD, FACS
470-900-3223
@drthomaswalker

Hello! Thank you for your question. From the photos you provided it is very clear that you have an asymmetry. The nostrils are uneven. The tip looks slightly deviated. If you want to go for a revision surgery, please keep in mind that you will most probably need a cartilage reconstruction (from rib /or/ ear) and external grafts. With time it can get worse it the tip falls more so you need more support for the tip especially.
Best regards!

Hello @amcarlson, thank you for your question. When making decisions about a rhinoplasty, it’s important to weigh all your options carefully. Make sure you talk to your surgeon or an experienced specialist who can explain the risks associated. No matter how minor the procedure may seem, there is always the possibility that it does not meet your expectations. As such, it is important to thoroughly understand exactly what is being done before making any corrections. It would be beneficial for you and your surgeon to go over every detail of the surgery. Ultimately, whether a minor revision is necessary comes down to personal preference; however there are certain things that need careful consideration beforehand so take time researching available options until comfortable proceeding with a decision. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS) International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)