Did my surgeon ruin my nose? What are my options? (Photo)

Question

I had my rhinoplasty done November 2020. I said my nose left too long and I didn't want the hump. If possible, I asked for a 'cute, girly' nose. I thought my nose looked nice on one side, but very quickly, I realised my nostrils are uneven and my nose is extremely upturned, hard and short. She said this was due to my already uneven nostrils pre surgery. Is my nose doomed now?

William Portuese, MD · Answer

You have multiple complicated issues going on with your nose currently. Make sure you obtain a copy of your operative report for the next surgeon, since it's very important to know how much cartilage is left over on the inside of your nose for grafting purposes. To reduce the ski slope, you're going to require a graft of cartilage across the bridge of the nose. You will also require osteotomies to narrow the nasal bones, and spreader grafts placed underneath the concave upper lateral cartilages creating the inverted V deformity. A composite graft harvested from the ear placed inside the right nostril help with asymmetry, but your nostrils will never be symmetrical.

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