Need a 4th Revision Rhinoplasty. Will It Help?

Hello, Mom from Gurnee.

Know your city well; Six Flags Magic Mountain + consulted for the Gurnee School District just before entering US Army, following residency at U of Illinois.

I advise no further surgery. You are an attractive lady. While your nose is not perfect, few -- natural or operated upon -- are. "Quit while you are ahead"  makes sense. What if the next operation leads to infection or tissue loss? You would kick yourself.

Need I remind you,  or our visitors to RealSelf.com, that certain celebs, one of  whom shall be nameless but whose last name is the same as the President on a US $20 bill, was the poster boy for bad judgement regarding repeated operations on the nose?

Gambling is what you do in Vegas; don't gamble with your nose.

Best wishes.

- Robert Kotler, MD, FACS

Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON

As long as the tissues are healthy, you are motivated, and your expectations are realistic there is room for improvement.  You may very well need a rib graft to correct the contour deformity of the bridge

One should be very careful when undergoing a fourth revision rhinoplasty.  An alar retraction is best treated with a combination of composite grafts from the ear along with any alar baton grafting.  Columellar hanging and show are best treated by resection of both membranous and cartilaginous caudal septum.  Look for a very experienced rhinoplasty surgeon who has lots of experience performing both primary and revision rhinoplasty before embarking on your next rhinoplasty endeavor.