I go a closed rhinoplasty back in 2020. While I love my new nose, I still have an area of concern. The tip of my nose has always swayed to my right and I was hoping that this could be corrected. When speaking to my surgeon after the procedure, he mentioned that he did what he could and even if the tip was corrected even more in a revision, my muscles and skin have a memory and it could move its way back to that place. I'm curious to get opinions if this can be changed permanently.
March 30, 2023
Answer: I think it probably can be improved. But I'd like to know what the three-quarter views look like. More ... 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.
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March 30, 2023
Answer: I think it probably can be improved. But I'd like to know what the three-quarter views look like. More ... 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.
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March 30, 2023
Answer: Revision rhinoplasty 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 !
Helpful
March 30, 2023
Answer: Revision rhinoplasty 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 !
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