What’s wrong with my deviated nose 7 years post-op & is it possible to get it straight like before? (Photos)

Question

I kindly really need your help, if you see what i need not possible please just tell me, what bothers me a lot is the deviation in my nose, too small nostrils that need to be enlarged (Im thinking of lip lift to get the width back).. those are the main concerns, i think my doctor altered every ml in my nose so there is alot to fix, Is it about spreader grafts? Is it about ear or rib graft? Is it about just bringing the bones together to straighten them? What it is really about based on pics :/ ?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos and information you provided. It looks like you have a S shape on your nose (really deviated). I recommend you a revision rhinoplasty, we will most probably need to use some rib cartilage to make the nose straight again and give better definition.
Best regards!Prof. Dr. Selcuk Inanli

Yucel Sarialtin, MD · Answer

Hello,
Thank you for sharing these pictures.
Your concerns suggest post-rhinoplasty structural issues, including nasal deviation and overly narrowed nostrils. Correction may require spreader grafts to straighten the nose and improve breathing, and possibly ear or rib cartilage if prior support was removed. For small nostrils, an alar base revision is typically more effective than a lip lift.

Alejandro Nogueira, MD · Answer

You had a type known as short nose, and your surgeon had the brilliant idea of shortening it further, likely because his skills allow only to reduce skeleton and not adding new one to lengthen and reshape your nose.

You need a very very good revision and structure rhinoplasty surgeon, your tip is totally collapsed and flattened, the nostrils have null support, tip is broad and undefined, bridge is broad (probably due to open roof deformity), etc.

That's a top notch revision procedure, involving very likely rib cartilage harveting to restore the iatrogenically and congenitally missing skeleton of the nose; do reaserch very well who'll handle your case, the short nose syndrome due to congenital cause, aggravated by a further shrunk situation due to iatrogenia, is a technical difficulty ordeal-level.

Ozge Ergun, MD · Answer

Thank you for reaching out and for clearly outlining your concerns. Based on your photos and description, here are my initial thoughts:
Nasal Deviation: The deviation may be due to residual septal deviation, cartilage warping, or previous bone positioning. This can often be improved with spreader grafts, osteotomies, or septal reconstruction.
Small Nostrils: The appearance of small or narrowed nostrils may be the result of alar retraction or over-resection. This can be addressed using alar grafts.
Lip Lift Consideration: A lip lift may help improve the balance between the nose and upper lip but won’t significantly widen the nostrils. Structural grafting is more effective for that concern.
Yes — improvement is certainly possible. A personalized surgical plan would be needed based on a full in-person evaluation.

Ajaya Kashyap, MD · Answer

Thank you for your query. Healing tissues are often like little springs and can pull the structures unevenly during the process of healing. A C.T. Scan or MRI can show the structures better. A revision rhinoplasty with a cartilage graft can help straighten the nose. The nostrils can be improved with silicone dilators and reconstruction may not be required. Please discuss your concerns with your surgeon or another experienced rhinoplasty surgeon who can examine you and help you with all your concerns. All the best!

Eric M. Joseph, MD · Answer

In our practice, we need to examine everybody to determine their candidacy for revision rhinoplasty surgery. I can see that you have a somewhat crooked nasal appearance where you marked the indentation, and we can also see that your tip has likely drooped since surgery. Goals of revision rhinoplasty may be to increase your nasal tip projection and rotation, while lowering your bridge, and straightening your nose on front view. Please consider meeting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. Since the only Dr Joseph

Man Koon Suh, MD · Answer

Nasal bone and upper lateral cartilages of your nose are crooked in C-shape.
You can expect good result if you do corrective rhinoplasty. The surgery will move your deviated nasal bone toward the midline. If you perform the dorsal preservation rhinoplasty (septal correction, osteotomy and mobilization of the whole nasal pyramid), then straight nose will be achieved. In most of cases doing this surgery, spreader graft is not required. However, depending on the dorsal septal condition, it may be needed.

Gary M. Horndeski, MD · Answer

Yes, it is possible to straighten your nose. I recommend an open rhinoplasty. If the septum is still present, it can be harvested as a graft, if necessary. Your nose is curving to your right side in one of your photographs.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Randal Haworth, MD, FACS · Answer

A deviated nose and small nostrils can be addressed through rhinoplasty (or revision in this case). Various techniques may be employed, including spreader grafts, which can help correct nasal deviation and improve nasal structure and airflow. Ear or rib grafts may be utilized to provide additional support or enhance the shape of the nose.

The specific techniques required to address your concerns will depend on factors such as the severity of the deviation, the structural issues present, and your individual anatomy. A thorough physical evaluation by a qualified surgeon is necessary to determine the most appropriate treatment plan for you.

I recommend scheduling a consultation with a plastic surgeon who specializes in revision rhinoplasty. They will be able to assess your nose, discuss your concerns and goals, and provide you with a detailed assessment and treatment options based on your specific situation.

I hope this helps,
best of luck !

Cengizhan Ekizceli, MD · Answer

Hi, thanks for sharing your photos. There’s clear nasal deviation and nostril narrowing, which may stem from over-resection or lack of structural support.
Correction often involves spreader grafts to straighten and widen the nose, and possibly ear or rib cartilage if more support is needed. A lip lift won’t address nostril width effectively&mdash;alar base or internal nasal work would be more appropriate.
A skilled revision rhinoplasty specialist can guide you. What you're asking for is possible, but it’s a complex case that needs expert hands.

What’s wrong with my deviated nose 7 years post-op & is it possible to get it straight like before? (Photos)

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