Deviated septum and ethnic Rhinoplasty after botched surgery. What methods would you suggest for a revision? (photos)

Thank you very much for the questions.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, After having analyzed all the info. and photos provided to us, i recommend you perform an Open Full Rhinoplasty, includding narrowing of the nasal base and nostrils, with nasal bones treatment (controled fracture) and alar + triangular nasal cartilages re-shaping.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully, Dr. Emmanuel Mallol.-

An examination would be helpful to determine the extent of cartilaginous support inside your nose. You may still be a candidate for reduction of the nasal soft tissue to further define your nasal tip. Best, Dr. Karamanoukian 

African American revision rhinoplasty should be based on what you want to see different about your nose. The nose can be straightened as well as the base made smaller. Tip refinement is done as well. See a very experienced surgeon for the best results

The width of the African American nose and a low bridge is the main issue. An Alarplasty (narrowing the nostrils) and an implant to elevate the nasal bridge will make a big difference. Any deviation of the nasal septum can be corrected at the same time. RegardsDr. J

It is impossible to comment on the septal/breathing issue without an exam. Cosmetically, a lot can be accomplished. I would do an open rhinoplasty, cartilage grafting for support and graft or implant to restore dorsal height and narrowness. While computer imaging is interesting and fun, it is fraught with risk as it is entirely operator dependent and you have WAY more control with the computer image than you have with tissue in real life. Often times, the image is made to meet the patient expectations rather than the patient's expectations being moved toward the "realistic" image of what can actually be expected.

Your issues are best served by ONLY IN PERSON evaluations and recommendations. Over internet very hard to advise exact operative measures needed... 

The rhinoplasty and septoplasty are 2 completely separate operations. A septoplasty is performed when there is blockage of bone and cartilage in the back of the nose and is performed for medical necessity. A rhinoplasty procedure is performed for cosmetic purposes to change the external appearance of the nose.  To make this nose smaller, osteotomies of the nasal bones , suture  techniques applied to the lower lateral cartilages, an alar-plasty  and a dorsal augmentation to build up the bridge height are required. 

Hi,Your breathing problem can be due to internal scar tissue, deviated septum and/or nasal valve collapse... As far as cosmetic work, computer Imaging may help you decide what is best for you. Either way, choose a surgeon skilled in ethnic rhinoplasty.Best,Dr.S.