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Hello and thank you for your question. Based on your limited view photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. 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
Based on your photos, you appear to have relatively thin nasal skin. We can see that you have deep creases above your nostril margins which may be due to your previous surgery. This could also be associated with tip and nostril asymmetry. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for replacing lost nasal volume and for achieving a less operated looking nasal tip appearance. I hope this helps! Sincerely, Dr Joseph
Basically, we need to restore where cartilage was removed in your nose. Too much was taken out which has led to buckling and folding of the remaining structures. That is giving you these "operated on" shapes and shadows. This can readily be done in about 90 minutes.
A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed, since revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery. It's also important to know how much cartilage is left over on the inside of your nose for grafting purposes. Choose your second surgeon wisely based on extensive experience producing natural results
HiThank you for your question. I am slightly surprised that you were told that nothing could be done - that is not the case. There are techniques available which should be able to straighten up the nasal bones at the top, which involve gently breaking the bones on either side (and sometimes also...
Hello. I am so sorry that you are unhappy after your rhinoplasty. When I look at your photos, I don't think it was a bad result. But of course, the perception of beauty varies greatly from person to person. If it does not meet your expectations, you can consider revision. This is entirely up to...
Hello and thank you for your question. I don’t use solid onlay grafts as they frequently have contour irregularities, mobility, and problems. When placing an onlay graft, I prefer diced cartilage wrapped in fascia. It usually has a much smoother longterm contour. I recommend that you seek c...
The photograph of your x-ray is interesting, however, facial photographs would be necessary to determine whether or not your expectations are valid. I hope this is helpful. Sincerely, Dr. Joseph
Hi, thank you for your question. Any procedure on the nose to reduce scar tissue, whether rasping or revision surgery, runs the risk of more scar tissue formation. The main benefit of a revision is that you have more control over the precise operation and you can also place small camouflage...
Hello. Since you did not send a photo with your question, I am not sure how accurate and clear our answer can be. However, in cases where the noses have been reduced too much, if the skin is thin or if there were problems with the skin related to the surgery, fat injection can be done to solve...
