Is my nose horrible? My left side is caving in and the tip bends to the left. Will I ever be able to fix these things? (Photo)

Question

Please see photos and tell me what you can see. I hate my new nose, it's all wrong and am so depressed. My left side is caving in and the tip bends to the left and now when I smile I get a crease above my lip. Nothing was cut in my operation so don't know why this has happened. Will I ever be able to fix these things??

Evan Ransom, MD, FACS · Answer

Thank you for the questions and your photos. Without seeing your pre-op photos and examining your nose in person, I can't say exactly what happened. However, based on other patients I have seen, it is possible that the modifications of the tip cartilage and septum are not even. In closed rhinoplasty, this can happen (especially in the tip region). It is important now to remember that there is still a lot of swelling. Stay in touch with your surgeon. In many cases, massage and small injections of a steroid can be helpful. Revision work is typically not advised until 1 year post-op.

Mario J. Imola, MD, DDS · Answer

After examining your photos, some common post-rhinoplasty issues are apparent:1.  Asymmetry - the bone and cartilaginous pyramid, as well as the nasal base and tip are deviated resulting in a C-shaped deformity.2.  The middle third of the nose is under-supported and destablized resulting in mild to moderated collapse of the upper lateral cartilage - septum - nasal bone complex.Preoperative photos would be useful.  I am not sure how many and what type of procedures you have undergone and how long postop you are.  In all likelihood you will require a major revision surgery to achieve your desired results, however, the prognosis is guarded.  Mario J. Imola, MD, DDS, FRCSC, FACS.

Jose Barrera, MD · Answer

I can sense your frustration when reading your post. I don't have much detail, but I gather that you had a rhinoplasty which resulted in continued deviation, collapse, and crookedness. Rhinoplasty is a surgery where the cartilage and bone of the nose are reshaped and reconstructed. It may involve correcting a functional obstruction to improve breathing and reshaping the tip, middle vault, and boney pyramid of the nose to correct a deviation or refine the nose. In your case, all three areas need to be addressed with reshaping and cartilage grafting procedures. I recommend seeing a board certified facial plastic surgeon to address your needs.

Jarrod Little, MD · Answer

Without knowing exactly what was performed during the procedure and what your nose looked like prior, it is difficult to say.  Your asymmetry may be due to different amounts of cartilage excised (ie- cephalic trim) from each side of the nose.  It is important to communicate your concerns to your Plastic Surgeon.  Obtaining a second opinion is never a bad idea.  If you choose to do so, it would be important to obtain a copy of the operative report to know exactly what was done.

Is my nose horrible? My left side is caving in and the tip bends to the left. Will I ever be able to fix these things? (Photo)

Answers (4)

Answer: Shape of nasal tip after rhinoplasty

Answer: Shape of nasal tip after rhinoplasty

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Is my nose horrible? My left side is caving in and the tip bends to the left. Will I ever be able to fix these things? (Photo)

Answers (4)

Answer: Shape of nasal tip after rhinoplasty

Answer: Shape of nasal tip after rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.