I am interested in revision rhinoplasty but I was advised against it from my previous surgeon, any advice? (Photo)

Question

Hello! I am interested in revision rhinoplasty as I just want the tip of my nose smaller (pics attached). However my surgeon said this would be a complicated procedure with risks of asymmetry, septal perforation, allar collapsibility and increased nasal blockage etc etc. So I got scared as imagined! I am a little confused as people have revisions all the time, therefore why is my case more risky? My nose job happened in 2018 so it’s been a long time since I have had surgery and I am also 31!

Kristina Zakhary, MD, MSc, FRCSC · Answer

Your surgeon’s concerns about the risks of a revision rhinoplasty, such as asymmetry, septal perforation, alar collapse, and increased nasal blockage, are valid. While revisions are common, each case is different, and the specific risks in your situation may outweigh the potential benefits. It’s often said that the enemy of good is better, and further surgery may compromise the positive result you currently have.
It is advisable to take the time to carefully consider these factors before proceeding.

Jeffrey H. Spiegel, MD · Answer

Yes, every nose surgery has a risk of the things you mentioned. However, yes, we do revision surgery all the time and this is a frequent procedure in my office.  I don't see a reason why we couldn't move towards your goals safely.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision Rhinoplasty. Maneuvers for your surgery would include tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Sean Fisher, MD · Answer

risks in revisionary surgery are different than with primary rhinoplasty, however you are correct that many patients undergo revision rhinoplasty with good outcomes. De-projecting the nasal tip should be able to be addressed with a second surgery without an un-necessary risk profile. Assuming appropriate techniques are used and adequate support is used, these risks should be able to be managed. It is important to find a surgeon who is well trained in revision rhinoplasty in order to address your concerns. 
Sean M Fisher MD

I am interested in revision rhinoplasty but I was advised against it from my previous surgeon, any advice? (Photo)

Answers (4)

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