Can I get revision rhinoplasty for my overprojected nose? (Photo)

Question

I had rhinoplasty 16 years ago, which shaved down the hump in middle of my nose. The dr at the time didn't do anything to make my nose shorter. (I believe he should have)... 16 years later I feel like my nose is still big and want revision. I'm hoping it will make me look better. Just hoping something can be done since I know revisions are more risky.

Steven M. Denenberg, MD · Answer

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_Anonymous2759570.html
I made a couple of computer morphs of your nose, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.
On that 3/4 view, I shortened your nose. Quite a bit. There may be a limit on the amount of shortening that is possible, but the animation is not unrealistic, and the good news is that shortening a nose is one of the more predictable changes to make, even in a revision, if the correct techniques are used. 
I also deprojected your nose on that profile view, and elevated the tip so the nose doesn't look too long on the profile either.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. Every nose operation make the *next* one much much harder, so you should only have surgery if you are able to make yourself very confident in your surgeon's skills.
I'd love to hear what you think of the morphs. Did they seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.

Manish H. Shah, MD, FACS · Answer

Hello,Thanks for your question. Yes, you can still have your overprojected nose corrected. The procedure would require an adjustment in your bridge slope as the tip is brought in closer to your face. Additional adjustments might need to be made, but I can't tell from your photos. Make sure you consult with a revision rhinoplasty specialist for more information. 40% of my rhinoplasty practice involves revision rhinoplasty procedures. If so desired, I would be happy to Skype with you to discuss this further. Good luck,Dr. Shah

Sandy Sule, MD · Answer

based on your photos, it appears at the time if your rhinoplasty a cartilage shield graft was used which is making the nose look longer and overprojected. A tip rhinoplasty could be performed to bring the tip back into the face and make the nose appear better.

Sanaz Harirchian, MD · Answer

Hi there. Thanks for your question. You are a good candidate for a revision rhinoplasty if you are interested in changing the appearance of your nose. Your is overprojected & too long. Advanced rhinoplasty techniques can be used to deproject your tip. Revision rhinoplasty is more complicated so make sure to see a specialist. Good luck. Best, Dr H

Fred J. Bressler, MD, FACS · Answer

Thank you for your post and congratulations on researching your options to further enhance your nasal appearance. You are correct. Your nose appears too long and overprotected despite an otherwise successful surgery. In my view you are an excellent candidate to consider revision rhinoplasty via an open approach for improvement of your nasal tip and projection. De-projecting your dorsum, tip and middle vault requires advanced rhinoplasty techniques, along with a reduction in the caudal length of your septum. Tip cartilage reconstruction and/or overlap will be required. A complete examination in person with a revision specialist can help you understand how to accomplish your goals and review your best options.  Please contact my office if I can be of any additional assistance or review revision cases online. Best wishes.

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Can I get revision rhinoplasty for my overprojected nose? (Photo)

Answers (6)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Answer: Overprojected Nose after Primary Rhinoplasty

Answer: Overprojected Nose after Primary Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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