Would a revision be likely to improve my nose or make it worse? Want to build up nose bridge. (photos)

Question

Hi, I'm over 6 months post-op and incredibly upset and distressed by my primary rhinoplasty outcome. All I asked for was the removal of the bump on my nose and nothing more, but instead my doctor was incredibly reductive and left me with a very sloped dipped nose. It has also settled lower than he anticipated because he took out too much septal cartilage during my septoplasty. Would a revision to build by bridge back up with some kind of graft or cartilage have a decent chance of working?

Thomas A. Mustoe, MD, FACS · Answer

I agree that your dorsal profile shows a very sloped nose with a lot of cartilage and bone removed.  At this point a revision Would require adding back a lot of cartilage and probably require a rib
Graft but should be able restore your desired profile

Nima Shemirani, MD · Answer

Hi @Genuine209146! I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

Edwin F. Williams, III, MD · Answer

Thank you for your question. There are techniques to help build up your bridge to give a straighter, less "swooped" profile. I would recommend waiting a full year, at least, before undergoing a revision surgery as things can continue to change. I perform over 90% of my rhinoplasty procedures through the closed approach, even in most revision cases. I recommend that you have a consultation with a board-certified facial plastic surgeon who specializes in revision rhinoplasty to discuss this further. Best of luck!

Andrew Miller, MD · Answer

You can certainly improve your bridge by adding a graft along the dorsum. It can be carved to fit your nose exactly, so the result should look much better. Be sure to see a rhinoplasty expert for consultation.

Eric M. Joseph, MD · Answer

Would you consider a permanent non-surgical nose job? Depending on your examination, microdroplet Silikon-1000 may be considered for achieving a higher and smoother nasal bridge appearance. Thank you. Dr Joseph

Would a revision be likely to improve my nose or make it worse? Want to build up nose bridge. (photos)

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