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Can this be fixed or am I asking for more problems? Rhinoplasty Revision

mdbrown14Sep 13, 2016
I had rhinoplasty done 13 years ago. I do love my nose, but I don't love how the left nostril looks straight-on. It has caused me to not take photos straight-on anymore. My surgeon is supposed to be highly regarded with rhinoplasty, but when I asked him about this he said I had a crooked nose-that's the best he could do. I know nothing is perfect-and I don't want to cause more problems-but can this be fixed?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Sep 15, 2016
Answer
Dr. Dennis Barek, MD (retired)
Board Certified Plastic Surgeon
Answered on Sep 15, 2016
Answer

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Andrew Miller, MD

While spreader grafts may help a little with the bony sidewalls, they are primarily used to widen and improve collapse of the middle third of the nose. Any revision rhinoplasty is difficult, but if you find a surgeon with a lot of experience you should be able to get an improvement.

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Richard W. Fleming, MD (retired)

Although it is difficult to evaluate your nose with this one picture it does appear that your tip asymmetry is not only secondary to nostril height but also a difference in the contour of the lower lateral cartilages. I don't think an alar rim graft will solve your problem but discuss this issue...

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Sam Rizk, MD

Thank you for your question. If your nostrils have collapsed and you now have to breathe through your mouth, it is definitely cause for a revision procedure. It has been long enough after your first rhinoplasty to consider a revision rhinoplasty. I recommend consulting a board certified facial...

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