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Hi @Sheri C. I'm sorry you are not happy with the results of your rhinoplasty. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!
the twisting and collapse are secondary to loss of support... you would likely benefit from a revision with structural cartilage grafting to support your dorsal and tip to restore symmetry and dorsal supportgood luck
Your concerns can definitely be addressed with revisionary surgery assuming it is done by a qualified surgeon. This is around mid range in terms of level of complexity.
If you are unhappy with the results a revision procedure will be needed. During your revisionary surgery your surgeon can address your concerns. The decision of undergoing surgery is a personal decision and of course as surgeons we can only make suggestions. I understand going under a second...
Due to previous surgeries and multiple trauma, it is possible to give you some improvement as long as you have realistic expectations. Your nasal bones appear to be excessively wide and can be narrowed with medial and low lateral osteotomies.