Cosmetic and functional issues 17 months post op - how much improvement can I realistically expect from a revision? (Photos)

Question

Hello doctors, I had septorhinoplasty about 17 months ago and I am currently experiencing both functional and cosmetic concerns. Breathing: - I feel that not enough air passes through my nose most of the time, and it gets worse during exercise or in hot weather. - At night my nose often feels blocked, so I need extra pillows, and when I sleep on my right side breathing feels easier. - My breathing is noticeably better when I use NoseVent. - A recent CT scan shows septal deviation to the left. Cosmetic: - My nose looks crooked from the front. - There is a dent above my left nostril that makes it look sharp. - My nostrils appear different in size and shape. In your opinion, how much improvement can I realistically expect from a revision septorhinoplasty? And would rib cartilage possibly be necessary in my case?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for revision rhinoplasty. Maneuvers for your surgery would include placement of extended alar contour grafts to help improve nostril symmetry, tensioning of the tip, among other maneuvers. Your breathing can also likely be improved. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Cosmetic and functional issues 17 months post op - how much improvement can I realistically expect from a revision? (Photos)

Answers (1)