Not happy with the overprojected appearance of my nose. Can this be improved? (Photo)

Question

I had a total rhino septoplasty almost 20 years ago. I'm not happy with overprojected appearance of the nose and it’s angle. I’ve been told it was not possible to achieve what I wanted, ie less projected and longer nose. Now I wonder if it was true and can it be achieved. No soft tissue was removed from my nose, everything was only shifted.

Selcuk Inanli, MD · Answer

Hello! First of all thank you for your question.I have evaluated your case regarding the information you provided and your photos.Of course the overprojection can be improved. Less projected nose can be achieved. Firstly, the cartilage reserve will be checked inside the nose, if there is not enough, cartilage graft from elsewhere of the body like rib cartilage should be used during the operation.

Eric M. Joseph, MD · Answer

I think the first computer imaging looks reasonable, but the second image appears to have a dorsal hump and a lowered nasal tip. Personally, I prefer the less projected nasal appearance without nasal lengthening, and without a bump. Since this would be revision surgery, the feasibility of proceeding with revision rhinoplasty would require an examination. Hope this helps! Dr Joseph

Randal Haworth, MD, FACS · Answer

Hello,

I think your question underscores the need to find a surgeon who is not just technically capable of producing the result you want but also one who shares the same passion for the esthetic result you desire.

I personally prefer your second photo because I feel it looks better on your face, but it doesn’t mean I’m right.

Our goal is to make the patient happy from an objective stand point and no matter how excellent a result is as judged by other surgeons, if the patient is unhappy then the result is a failure.

This is why it is important to search for a surgeon who shared your esthetic visions and can work with you through predictive computer imaging.

Best of luck !

Randal Haworth

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