2 years after rhinoplasty - is an improvement possible? (Photo)

Before considering revision rhinoplasty, we like to review previous operative reports and preoperative photos to see what somebody started with and where they landed. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after revision rhinoplasty surgery. I hope this helps. Sincerely, Dr Joseph

Who cares about a graft? You nose doesn't look like a nose that needs grafting to correct. In fact, it needs the opposite. It appears that the tip cartilages are too strong still, making the tip appear wide-ish and also the nose seems long to me, as though the tip could be elevated: that would overall help in making the nose look less prominent. There are also irregularities and excess width to the middle part of the nose, and you didn't post a profile view, but from the way the tip cartilages are strong, it wouldn't surprise me if the tip is strongly projecting from the profile view as well. This is a typical nose with many problems with its underlying post-surgical structure that an excellent revision surgeon can address.


How *much* to narrow or elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

It appears you need a revision that may require grafting. There are few surgeons that are experienced and skilled in this procedure so you are going to have to go on several consults and research to determine who to see for your surgery