Nose looks crooked and uneven after revision in 2020. What can be done? (photos)

Question

I had a bad rhinoplasty in 2015 and got the revision in Oct 2020. My nose profile looks 1000x better than before but my front still looks uneven and one side appears pinched. Inside my nostrils, one is open and I can breathe but the other has a very small opening and, when I sleep, can make it difficult to breathe through my nose. What can be done to even out the nostrils and open up the other side? Paid 15k to get this corrected and I’m only 50% happy with the outcome.

Philip J. Miller, MD, FACS · Answer

This needs an in-person evaluation. There are often an assortment of reasons that patients are unhappy with their initial nose job. Revision rhinoplasty is an option to address these issues of concern.

When performing revision rhinoplasty or a secondary nose job, it may be necessary to employ an open rhinoplasty surgical technique which entails placing an incision across the columella (skin between the nostrils). This surgical technique allows for a facial plastic surgeon to have improved clarity. Subsequently, for my patients this allows me to better see and approach the problem.

The best piece of advice I can give you is to seek out a revision rhinoplasty specialist that is board certified in facial plastic surgery. A rhinoplasty done in the hands of an inexperienced surgery takes longer and you may be able to speak better to this than most others, often leaves you with an undesirable result. Do your research and go on a few consultations. The more unified your vision is with your surgeon, the better your end result will be. I wish you the best on your journey toward fixing your nose.

Sincerely,
Philip J. Miller, MD, FACS Double Board-Certified Facial Plastic Surgeon

Nose looks crooked and uneven after revision in 2020. What can be done? (photos)

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Everything you need to know about Revision Rhinoplasty

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Nose looks crooked and uneven after revision in 2020. What can be done? (photos)

Answers (1)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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