Would revision surgery help with my nostrils and columella? (Photo)

Question

Hi, I had a primary rhinoplasty in mid August 2023, so am now 9.5 months post op. When my cast came off I looked monstrous, extremely swollen and you could see up both nostrils completely. There has been minor improvement but I am still so very unhappy with my nose. From my perspective, my nostrils are notched, retracted, and my columella is hanging too low. I have been told I have thick skin and am a very slow healer. My question is,is there a chance that a revision surgery could help? Thanks!

Eric M. Joseph, MD · Answer

Although a hanging columella may require surgery to lift it, when somebody gets notching and excessive nostril show after rhinoplasty surgery, several millimeters of nostril lowering may be achieved with artful microdroplet Silikon-1000. I hope this helps. Sincerely, Dr Joseph

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 in your surgery would include correction of alar retraction by placing extended alar contour grafts, nasal tip deprojection, tip refinement, 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

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