Was my revision rhinoplasty worth it or do I need another one? (Photos)

Question

(Unrefined tip and c-shaped deformity). Many doctors advised I have my revision with the same doctor who did my primary rhinoplasty. I'm 8 months after revision and it pains me to see no improvement (columella scar is gone but nostrils are more uneven). My main concerns were the unrefined tip & c-shaped deformity (from surgery). This doctor is very reputable and patients travel out of state to see him. 1st picture is a comparison of my nose before/after primary rhinoplasty & after revision. The rest of the pictures are of present.

Thomas A. Mustoe, MD, FACS · Answer

After revision rhinoplasty it takes even longer for all the swelling to resolve and healing be complete than the first operation—I would say at least 15-18 months.  So you have to wait to see the final refinement of the tip.  The asymmetry unfortunately is not totally predictable or controllable.  At the time of surgery the 5 cartilages that make up the lower part of your nose are can efully placed but cannot be rigidly fixed and during the healing process they can shift some.  Unfortunately during another revision it is impossible to be certain of a perfectly straight nose.  Sometimes a c shaped deformity can be improved with a small fat graft.

Andre Panossian, MD · Answer

Swelling in the nasal tip after rhinoplasty can persist up to 1 year or more. Swelling takes even longer when you have already had trauma or previous rhinoplasty. I have been amazed at the constant change in nasal appearance that can occur even 3-5 years after surgery. But I can see your point about the subtle change or lack thereof. It can be frustrating. My suggestion would be to wait at least a year prior to committing to another revision procedure.Read about Dr. Panossian's Rhinoplasty Technique

Michael L. Schwartz, MD · Answer

At this time you should not do anything but wait at least another six months before making an assessment. Your nose will most likely continue to shrink and refine. You (like all patients) will always have some slight asymmetries from side to side so don't focus on that.

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

Very difficult to assess your results based on a few photos; what you really need is an examination by a rhinoplasty specialist to determine if your nose is properly set and alligned.

Richard W. Fleming, MD (retired) · Answer

Looking at these pictures I understand your frustration but I recommend you wait another 6-8 months before making any decisions about another revision rhinoplasty. Because revisions always take longer to heal  your nose will probably change over the next few months.

Was my revision rhinoplasty worth it or do I need another one? (Photos)

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Answer: Revision rhinoplasty concerns

Answer: Revision rhinoplasty concerns

Answer: Should I Have Another Revision Rhinoplasty

Answer: Should I Have Another Revision Rhinoplasty

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Was my revision rhinoplasty worth it or do I need another one? (Photos)

Answers (5)

Answer: Revision rhinoplasty concerns

Answer: Revision rhinoplasty concerns

Answer: Should I Have Another Revision Rhinoplasty

Answer: Should I Have Another Revision Rhinoplasty

Browse related questions

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.