Pinched nose post-rhinoplasty? Time to consider a revision surgery? (Photo)

The tip is prominent and wide and projects too far forward away from your face. I think that's what you're noticing. The cartilage will not change with more time, and hydrating will not change what your nose looks like. An operation could be planned to narrow that tip, and make the tip less strong so it doesn't stand out away from the rest of the nose, and then to bring the entire nose back closer to your face.

How *much* to narrow the tip, or deproject the nose (bring it closer to the face), or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. My web site teaches some good advice on how to determine whether a surgeon is good enough for you.

Hello and thank you for your question. Based on your photographs, I would recommend a revision rhinoplasty with nasal tip deprojection. This can shorten the elongated appearance of your tip. 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