Asymmetry under nose from Rhinoplasty done incorrectly well over 20 years ago - how easily could this be fixed? (Photo)

Question

Had a rhinoplasty / septoplasty in 1996. The doc was doing in office revisions on the cart ledge under the nose and I felt EVERYthing. He did one side and I couldn’t bear going back for the other side and at the time didn’t seem too asymmetrical. Infeel as though it has become more prominent the older I get and it’s something that really bothers me. Wondering if I’m a candidate for revision even this long after. I can’t think of any functional issue so unfortunately I’m sure I will have to pay out of pocket .… which is another reason for the delay in addressing it. If a candidate - is it very involved? Could it be done in office (With adequate pain management)? And ballpark cost?

Andrew Miller, MD · Answer

Based on your photo, you should be able to have a nice improvement with a well performed revision rhinoplasty. This should be done under anesthesia so the skin can be properly elevated and the cartilage revised to be symmetric. Prices can vary depending on what has to be done but can be around $12000-$15000. Be sure to see a rhinoplasty expert for consultation.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a great candidate for a revision rhinoplasty. The nostrils and infralobular tip asymmetry can be improved. This should be done under general anesthesia. Cost varies based on surgeon expertise and geographic region.. 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

Zoran Potparic, MD · Answer

It is possible to do revision on the nose tip/columella in local anesthesia providing that surgeon knows patient well and expect full cooperation. However, considering your earlier experience with local anesthesia, it may be more comfortable for you and your surgeon if this is done with some sort of sedation. Good luck.

Asymmetry under nose from Rhinoplasty done incorrectly well over 20 years ago - how easily could this be fixed? (Photo)

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