Should I have a revision rhinoplasty? (Photos)

Question

I had a septorhinoplasty three years ago + nasal valve collapse struts. I’m very happy with side profile and my breathing issues have resolved. From front on, I find my nose very crooked still, especially wwhen smiling. My PS said he feels it’s minor and wouldn’t suggest a revision, however it still bothers me. Should I seek other opinions, or is it not worth it? Is it possible I need more rigorous surgery, or perhaps the deviated septum re-deviated? Thank you!

Eric M. Joseph, MD · Answer

Based on your photos, we can see a concavity along the right side wall of your nose. Since you are breathing well, rather than undergoing surgery, microdroplet Silikon-1000 nasal injections maybe considered for achieving a straighter nasal appearance, by filling this indentation. I hope this is helpful, and I wish you well moving forward. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a from a revision in order to help produce better symmetry in your tip and fix the notching of your soft triangles and asymmetry of the nostrils. Nasal tip deprojection can also be performed at the same time for a better result. 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

William Portuese, MD · Answer

A closed rhinoplasty approach can accomplish improvement of your nose, but it may not be perfect. All of the incisions are placed on the inside of your nose. In addition, more information is needed, such as a full set of facial and nasal photographs from all angles to make a determination about how best to procede. You appear to have a hanging columella and a crooked nose which can be improved with a revision closed rhinoplasty. Copies of the operative report would also be helpful for your next surgeon.

Should I have a revision rhinoplasty? (Photos)

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Should I have a revision rhinoplasty? (Photos)

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.