3rd Rhinoplasty. Can uneven cartilage be corrected? (Photos)

Question

I had my first rhinoplasty 6 years ago, seeking an overall more narrow nose. The results were not very noticeable so I had a second rhinoplasty done 4 months ago. I asked my surgeon to define my tip and possibly narrow my nose further. Now the cartilage on my nose is uneven on the sides. I will be seeking a 3rd rhinoplasty at some point, but am confused as to what needs to be done to reach my goals of a straight nose with an appropriately defined tip.

Bahman Guyuron, MD · Answer

You seem to have slightly thicker than average skin in your tip and some deviation of the bridge. It may take more time than usual to see the final outcome. Creating definition on noses with thicker than average require special maneuvers during rhinoplasty. The fullness above the tip causing the deviation is usually related to the curve on the front portion of the septum and that also may require a special suture to reposition it.

William Portuese, MD · Answer

It's important to wait at least a year and sometimes 18 months before undergoing another rhinoplasty surgery, to allow full healing to occur, especially in patients with thick skin.. At that point, the nasal bones, upper lateral cartilages, and the lower lateral cartilages can all be it examined to see what can be accomplished moving forward.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Although you are still early post-op, you seem to have a crooked nasal bridge and a bulbous tip. Osteotomies may be required to straighten and slim down the nasal bridge. The tip will need reshaping and may require a graft. Your nose has the potential to receive a better outcome.  A consultation will help better access your nasal desires. I recommend doing research on facial plastic surgeons that has experience in revision rhinoplasties and scheduling a consultation. It is imperative to consult with a facial plastic surgeon who has done many revision before and has a lot of experience. During the consultation you can ask to have your nose computer imaged so you and the surgeon can discuss what changes you would like to make. This will also give you a realistic picture of what your nose could look like. There are many before/after pictures on line that can help you decide which surgeons work you like. Feel free to email me your pictures.Best,Dr. S

3rd Rhinoplasty. Can uneven cartilage be corrected? (Photos)

Answers (3)

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