Revision Rhinoplasty - can my tip be straightened? (Photo)

Thank you for your question and photos. Creating a more straightened nasal appearance can be achieved with revision rhinoplasty by first identifying the cause. Once the cause of the asymmetry is determined, the nose can be straightened with osteotomies, grafts, struts, or by correcting a deviated septum.

Keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, assess your concerns, and determine the best course of action.

We can see from the photos that your tip veers to the right and there is a symmetry of your tip when you smile. The feasibility of correcting this, however, is directly related to what was done in the operating room and what you started with. Consider Consulting with several reputable rhinoplasty specialists, and try to procure a copy of your photos and operative report, so you can see what might be best for you moving forward. Hope this helps! Dr Joseph

Hello! Thank you for your question.I have evaluated your case from the information and photos you provided.Your nose is deviated to the right. This can be straighten (as much as possible) with rib cartilage reconstruction. The fact that your muscles and skin have a memory, but with rib cartilage reconstruction it can be avoided.

You only posted the frontal view and the base view, but on your frontal view, there seems to be a distinct shadow just above the tip, especially on your left side. That's often a clue that the tip is still perhaps wider and more prominent than you might like it on the three quarters view, the view half way between the frontal and the direct profile. If the tip is wide-ish, then the tip appears to make a bump on the three-quarters view, as in the before and after that I posted with this answer. If that's the case, then narrowing the tip further can actually help in reducing the asymmetry, for a couple reasons. The work on the tip gives more options for reducing the asymmetry, and whenever you make part of the nose smaller, asymmetries appear to get smaller, too, because they sit on a less prominent nose.
Hope I'm not confusing you.
How *much* to narrow the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose in particular needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Based on the photos you provided, it does appear that there is some asymmetry in the tip of your nose. It is possible that a revision rhinoplasty could address this issue and provide a more symmetric appearance. However, it is important to keep in mind that the success of any revision procedure depends on various factors such as the condition of the tissue, skin, and cartilage in the nasal area, as well as the skill and experience of the surgeon performing the revision. It would be best to consult with a board-certified plastic surgeon who specializes in revision rhinoplasty to discuss your concerns and evaluate your options. They can also provide you with a realistic expectation of what can be achieved with the procedure.


I hope this helps,
best of luck !

While there is no perfect nose, there is some areas of improvement which can be accomplished for your nose. You also have facial asymmetry, such important to have realistic expectations. You have a concave upper lateral cartilage on your left side which can be improved with a cartilage spreader graft to give more symmetry. It's important to know how much cartilage you have leftover on the inside of your nose for grafting purposes.