Can I get close to my old nose back? It looks like I have no bridge or tip to my nose now (Photo)

Question

I really dislike my rhinoplasty. It's been over 7 months since I had surgery. I think too much was done to my nose. Do you think it would be possible to get it close to how it was before sugery if the bridge is raised, the sutures are removed from the the tip, the spreader grafts are removed, and if alot of cartilage is added back to the tip? Thank you. I am really worried b/c I can't live with it like this

David C. Pearson, MD · Answer

At least from what I can tell from the photos, the main problem seems to be with how overly wide the upper and middle thirds of your nose are (perhaps from the spreader grafts).As usual, I recommend patients wait a full year from their last surgery before proceeding with any revision. This allows the acute wound healing processes to settle down more fully. At that point, if it's still too wide (which I suspect it will be), then removing the spreaders and performing lateral osteotomies may be all that's required. I'm less certain that much will need to be done with the tip, though.Hope this helps,--DCPPearson Facial Plastic Surgery®

Philip Young, MD · Answer

Your bridge is wider. It would help to narrow the bridge and keep it narrow during healing through special suturing. The tip can be easily projected. You need to have a better transition to the side of the nose from the tip. The spreader grafts however should stay. You already have an inverted v deformity. Do you have breathing issues. A view from below would help as well.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You are absolutely correct in that your dorsum was better before than now; the upper dorsum was inappropriately lowered. Now you will require diced cartilage graft to your upper dorsum and columellar strut graft to provide your nip more projection and definition. The good news is that we can use cadaveric cartilage that avoids harvesting your own rib for donor sites.

Richard W. Fleming, MD (retired) · Answer

Your primary concern is the width of your nose as seen from the front. This may decrease over the next 6 months but i suspect you may want to do a revision to narrow the junction of your nasal bones and cheeks, narrow the mid-portion of your nose, and augment your collapsed asymmetrical tip.

Can I get close to my old nose back? It looks like I have no bridge or tip to my nose now (Photo)

Answers (4)

Answer: Revision 7 Months after Rhinoplasty

Answer: Revision 7 Months after Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Can I get close to my old nose back? It looks like I have no bridge or tip to my nose now (Photo)

Answers (4)

Answer: Revision 7 Months after Rhinoplasty

Answer: Revision 7 Months 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.