Saddle and open roof deformity after primary rhinoplasty (Photos)

Question

I had a rhinoplasty about 7 months ago with terrible results unfortunately. I think I have a saddle and an open roof deformity due to the fact that too much cartilage was removed. My dorsum is basically flat, wide and dorsal lines which used to be well defined are basically invisible now. I'm wondering what are the chances that a revision rhinoplasty with rib grafts can give me back a frontview that kind of resembles my old nose and a straight profile. Thanks in advance for your answers

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Full results from rhinoplasty are achieved in 12-14 months. At 9 months, your nose may still have some swelling, and it will still change. If after a full year you still notice the deformity, you should have it evaluated. You may need a revision rhinoplasty. Revision rhinoplasty is an even more complex procedure than primary rhinoplasty, and you will need a skilled surgeon to perform it. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have unique skills and experience when it comes to the function and aesthetics of the nose that enables them to improve their patients’ nasal concerns. During your consultation, your surgeon will evaluate your nose, determine your eligibility for revision rhinoplasty, recommend the best approach, and ensure the best possible outcome.

Oakley Smith, MD, FRCSC · Answer

Revision surgery can improve on the dorsum of your nose by adding to it to allow a straighter profile. It can also help improve the open roof deformity. It is best to consult with a rhinoplasty surgeon to have a discussion on what options are available in your particular case.

Edwin F. Williams, III, MD · Answer

Thank you for your question. The most important thing you can do when considering a revision rhinoplasty is to find a board-certified facial plastic surgeon specializing in this procedure. Rhinoplasty is one of the most difficult operations performed by plastic surgeons and therefore you need to be seen by someone who performs the operation often. I recommend you consult with a board-certified facial plastic surgeon for an in-person examination and discussion of your goals and options going forward. Best of luck!

Waleed Ezzat, MD, FACS · Answer

Thank you for your question. I’m sorry to hear that you’re unhappy with your rhinoplasty results. I would give yourself a full year to heal. The tip is likely to swollen and this may change your overall profile. Keep in contact with your surgeon. If this is not an option, then I would wait the full year, or at least close to a year, and find a board certified specialist with extensive experience in revision rhinoplasty. And most cases, revision rhinoplasty can bring your nose back to its form and function that you were hoping for.

Best of luck,

Dr. E

H. Baki Yilmaz, MD - Account Suspended · Answer

Hi. Mr. I am Asc. Prof. Dr. H. Baki YILMAZ (ENT surgeon) from Istanbul, Turkey. First of all, you are right about saddle nose deformity and open roof deformity. In order for these problems to go away, you need to have surgery again and it may be necessary to use rib cartilage in the surgery and you have to wait 12 month after first surgery

Saddle and open roof deformity after primary rhinoplasty (Photos)

Answers (5)

Answer: Do I have a saddle nose?

Answer: Do I have a saddle nose?

Answer: Again operation

Answer: Again operation

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Everything you need to know about Revision Rhinoplasty

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Saddle and open roof deformity after primary rhinoplasty (Photos)

Answers (5)

Answer: Do I have a saddle nose?

Answer: Do I have a saddle nose?

Answer: Again operation

Answer: Again operation

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.