Which procedure would help correct my tilted nose 6 years after rhinoplasty? (photos)

Question

I had a nose job when I was 20 years old, 6 years ago. These last couple of years I’ve noticed one side of my nose is slightly tilted to the left and the skin on that side feels much thinner than on the right side. Both sides look very different but I don’t know if this kind of thing can be resolved with another surgery or things like fillers would be enough.

Eric M. Joseph, MD · Answer

Based on your up close photos, you appear to have a small indentation along your right nasal sidewall and another along your left nasal side wall and this may be contributing to a crooked nasal appearance. You also have a tiny profile bump. Depending on your examination, microdroplet Silikon 1000 injections may be considered for filling in your nasal sidewall indentations to achieve a straighter and more symmetrical nasal appearance. I suspect your small dorsal hump could be camouflaged as well. Thank you for your question. Sincerely, Dr. Joseph

Jacob Tower, MD · Answer

Hello, hope you are well. It does appear from your photos that you have asymmetry of your dorsum. If you had augmentation rhinoplasty with either a rib graft or an implant, it may have shifted in position. It's hard to advise on the best course of action without assessing and palpating your nose in person, but the most likely path forward would be revision surgery. I would not advise 'liquid rhinoplasty' with dermal filler in this situation for two reasons: risk of a serious vascular complication and poor aesthetic outcome (impermanence and unlikely to resolve your concern).
Best,Dr. Tower

Zoran Potparic, MD · Answer

It would be very difficult to give you good advise based on these photos. In person consultation with a board certified plastic surgeon its expertise in rhinoplasty would give you better idea what can be done. Good luck.

Ronald J. Edelson, MD · Answer

From what I see your nose looks ok. Minor degrees of asymmetry are common and difficult to correct. I don’t think another rhinoplasty would be worthwhile

Mats Hagstrom, MD (license on probation) · Answer

All people have facial asymmetry. This is normal and should not be seen as something that needs to be corrected.
During and logical development, the two sides of the face develop independently from each other and eventually fused in the midline.
When we make a nasal assessment always look at the the notes in context to the rest of the face. Take a look at how plastic surgeons take before and after pictures to get an idea.
Jamaican assessment, funny outcome of a previous operation. We generally need to see proper before and after pictures. If you don’t have before and after pictures and ask your surgeon to forward the picture they took.
Personally, I don’t see a need for intervention.
Best,
Matt hagstrom, MD

Which procedure would help correct my tilted nose 6 years after rhinoplasty? (photos)

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