What happened to my nose after getting a nose job? What can be done to fix it? It’s been 7 years (Photo)

Question

I got a nose job at 16 , 7 years ago and I’m wondering what happened .and what I can do in order to fix it? Any help is greatly appreciated

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin nasal skin, with an s-shaped nasal appearance and asymmetrical nostril retraction. Our experience, microdroplet Silikon-1000 injections maybe a good way to achieve a straighter nasal appearance, with improved nostril symmetry. Hope this helps! Sincerely, Dr Joseph

Steven M. Denenberg, MD · Answer

When there is a bump on the bridge of the nose, it can make the bridge look narrow from the front. Then, if it's crooked, the crookedness is obvious. In the photos, it looks like the deviation of the bridge is still there somewhat, but the bridge looks obvious, too, as if there's still a bump present. More photos, from different angles, would help a lot.

Presumably, this can be improved in a revision operation.

Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Jeffrey H. Spiegel, MD · Answer

It looks like the cartilage has twisted as some of the cartilage up above was not secured in a way that would keep it straight.  This can be fixed readily with a revision rhinoplasty.

Ruslan Zhuravsky, DO · Answer

Hello,I'm sorry to see that you had these results. Yes, it is possible to have 2nd and 3rd revisions, in fact I do this too often. I find this unfortunate as I see the issues it creates for patients. It's not easy to explain what happend to your nose in this written format, and would require a more in depth conversation with photos and computer imaginig to explain some points. Overall, this has classic signs of what I refer to as "generic" rhinoplasty. The biggest, most obvious things are the deviation and poor support of the center of the nose. The tip has convex cartilages that seem to be cephalically positioned. When improperly addressed, the tip retains a rounded appearance, while the nostrils appear higher, the making the tip appear drooped. Much of the issues are more about the fine points of the shape and proper support. I hope this helps somewhat.

William Portuese, MD · Answer

A Full set of facial photographs from all angles are required to make a determination about how best to proceed.It appears that your upper lateral cartilages have collapsed, which will necessitate placement of spreader grafts. It's important to know how much cartilage is left over on the inside of the nose for grafting purposes and to also obtain a copy of the operative report from the previous procedure to find out what was accomplished.

What happened to my nose after getting a nose job? What can be done to fix it? It’s been 7 years (Photo)

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