Will a second revision restore my old nose? (Photos)

Question

I underwent a rhinoplasty in 2008 to correct a deviation I was happy with the results but would have liked a more refined tip. My surgeon at the time said this would not suit my face. Last year, I decided to seek a second opinion. The surgeon said he could give me a slightly more refined nose so I went ahead I am devastated by the result My bridge is much wider and the deviation that was corrected in 2008 is back. My philtrum is now almost as long as my chin. Ive lost the lovely shape I had before. I thought I was going to in for small tip and base adjustments and have come away with a completely different nose which does not suit my face. Can something similar to my old nose be restored?

Waseem Saeed, BSc, MBChB, FRCS(Ed) FRCS(Plast) · Answer

Your earlier photographs provide a useful guide to the shape and proportions you preferred. Based on the limited images provided, possible aims of further revision could include straightening the nose, refining the upper two-thirds, improving tip definition, achieving as much tip symmetry as the underlying tissues allow and, if required, reconstructing the columella.
Reconstructing the columella may improve the balance between the nose and upper lip and could make the upper lip appear shorter. Throughout any further surgery, maintaining or improving the nasal airway would need to remain an important part of the planning.
The first step would be to bring your concerns to the attention of your current surgeon, if that is a route you wish to take. Alternatively, you could seek an opinion from a surgeon who specialises specifically in revision rhinoplasty. A consultation, together with review of your earlier photographs and operation records, would allow the available options and their limitations to be determined and a working plan developed.

Will a second revision restore my old nose? (Photos)

Answers (1)

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