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Yes, revision rhinoplasty is indeed worthy and indicated; many issues here:-one sunken nasal bone, probably due to unilateral fracture and not bilateral (don't ask me why, it's beyond me)-asymmetric resection of alar cartilages-inverted V and open roof (unilateral, as corresponds with the first item)-poor nostril support, alar rim retraction-poor tip definition-over pinched with suturing nasal domes on a preop boxy bulbous tip which actually required lateral crura repositioningSeek well trustworthiness and talent for the revision surgeon.
Based on your up close photos, you appear to have a small indentation along your right nasal sidewall, and you also appear to have a bit of nostril asymmetry. Both of these issues may be improved upon with permanent non-surgical nose job treatments, which may be a welcome alternative to additional surgery. I hope this helps! Sincerely, Dr Joseph
Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining 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. Nostril asymmetry can also be corrected with tensioning the tip and placement of extended alar contour grafts . 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
I can guarantee to you no one airbag impact produces a inflammation-free, bloodless, no-bruise 2-mo-late-onset nasal deformity like yours, not even in such perfection environment of surgeon-surgery-postsurgery-results. So... unless any missing factor in your daily life or medical background is...
Yes, the radix can be lowered. And no, that won't impede or condition the desired bridge contour/slope. Radix is too high when the frontalis bone extension into the nose, which we all have, is too thick/long, filing that down is really very easy.
It's sad to see your situation, my honest sympathy be with you, apart from your psychological distress because we're facing here a formidable enemy. Your resection has been so aggressive that it's pulling down your columella, your tip and the alae, besides almost merging upper lip and nose...
