I had a revision rhinoplasty 4 years ago, and still have a big tip and droopy nose. I am very upset. (Photos)
Doctor Answers 9
I had a revision rhinoplasty 4 years ago, and still have a big tip and droopy nose.
You will need a 2nd ?? revision. Choose a surgeon with experience. Bring your op reports, 1st pre-op photos and any interim photos with you. Choose a surgeon who does computer imaging so that you both understand the goals of the procedure.
Your best bet is to have the supratip area (this is the area just above your tip) be shaved down so that your nasal dorsum extends lower close to your tip. this can easily be done using a closed rhinoplasty. Morphing can be used to show you this.
Your nose will not change further at this point. You will need yet another revision. The tip should be thinner but may be limited somewhat by scarring of the tip skin. Regardless, the twist and the hanging columella should be improved. Seek out an expert in revisions. Best wishes.
You might also like...
Revision Rhinoplasty 4 Years Later
Unfortunately, your nose is not likely to change much more nearly 4 years after the revision rhinoplasty. Looking at the photos provided, it appears you will need a second revision procedure in order to address the shape and size of your nose. Look for a surgeon who has truly dedicated experience in revision rhinoplasty surgery along with an extensive gallery of patient examples that reflects their past work.
Revision rhinoplasty candidate
After four years, the nose is not likely to change anymore from where it currently is. A tertiary rhinoplasty is very difficult, so it's important to know what was performed on the first two rhinoplasty procedures to get an understanding of where you can go from this point. Best to obtain your old operative records, if possible. Depending upon what was done in the past, the tip can be refined, the hanging columella reduced, the tip of the nose lifted, and the supratip depression augmented. For more information and many examples of revision rhinoplasty, please see the link and video below
Not Satisfied with Big Tip and Droopy Nose 4 Years after Revision Rhinoplasty
Now that you've waited 4 years your nose will not change significantly in the future. The pictures do show a wide asymmetrical tip and a hanging columella. Consult with your surgeon or another revision rhinoplasty specialist.
Revision rhinoplasty for the unsatisfactory result.
Revision rhinoplasty for the unsatisfactory result. Unfortunately you need a revision done by a very experienced revision rhinoplasty surgeon to correct this. Look at the results of the surgeons revision and choose one whose results u like.
Revision Rhinoplasty Considerations
thanks for your post. I am sorry that your revision rhinoplasty result did not turn out as you had hoped. I agree that there may be room for improvement through advanced revision rhinoplasty techniques. In general, further observation after 4 years will not likely demonstrate any significant improvement. I would discuss your concerns with your surgeon or get another opinion from an experienced revision rhinoplasty specialist on how to best proceed.
Improvement Is Possible
Thanks for your question and related photos. Based on your short history and what I can see, I believe your nose can be improved upon. It is normal to feel that it may be hopeless after you have gone through more than one surgery and did not get the results you desire. However, in the hands of a surgeon who does a lot of complex secondary (revision) rhinoplasty, your chances are very good. Because I do a lot of this type of corrective work, I am comfortable with your nose.
You do appear to have a complex columella and tip problem, which would likely require grafting of septal, ear or rib cartilage (depending on what is available) as well as making the aesthetic changes you desire. Keep in mind that there is no substitute for an in person examination and discussion.
I hope this helps! I wish you all the best.
Paul K. Holden, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.