I’ve had rhinoplasty twice and my nose still appears to be long, the tip large/ witch like and when I smile the muscles in my face pull the back of my nostrils up and my tip looks heavier. I’ve asked my last surgeon if there was anything else he could do so I could have a cuter nose/ less heavy tip and he said nothing can be done/he doesn’t see a the problem I see. I have a hard time believing it. Both surgeries I did close rhino and I feel like my tip could looked better.
Answer: Your nose is still very long. From these photos and your minimal history, it seems your nose could be improved substantially... Your nose seems very long to me, and your tip probably could be elevated. Quite a bit. If your surgeon doesn't see the length, perhaps it's time to re-evaluate your selection of surgeon. The woman in the short video that I posted with this answer had the tip of her nose elevated in a revision operation. Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes I described above require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon, and how to tell whether your first surgeon should be performing your revision. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?! But remember, you're not the surgeon for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer. In your case in particular, you need to find a surgeon who has the technical skills to handle a complicated revision, and a significant elevation of the tip, and handling the other surprises that a nose like yours would generate during surgery. Again, that's where the morphs can be very useful.
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Answer: Your nose is still very long. From these photos and your minimal history, it seems your nose could be improved substantially... Your nose seems very long to me, and your tip probably could be elevated. Quite a bit. If your surgeon doesn't see the length, perhaps it's time to re-evaluate your selection of surgeon. The woman in the short video that I posted with this answer had the tip of her nose elevated in a revision operation. Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes I described above require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon, and how to tell whether your first surgeon should be performing your revision. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?! But remember, you're not the surgeon for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer. In your case in particular, you need to find a surgeon who has the technical skills to handle a complicated revision, and a significant elevation of the tip, and handling the other surprises that a nose like yours would generate during surgery. Again, that's where the morphs can be very useful.
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March 13, 2019
Answer: Mobile tip after Revision Rhinoplasty Its sometimes difficult to have a nose be less dynamic during smiling. This is because there are many muscles that are moving during smiling. Some are outside the structure of the nose ( like in the cheeks). If they are excessively pulling on the nose, no surgery would be great in dealing with that. However, sometimes Botox can help in those instances. You would need to be evaluated in person to see if that was a realistic option for your. Other more definitive options include resecting the depressor Septi muscle to help stop pulling on the tip. Adding nasal tip support with grafting can also help, but all of these later options require a third surgery.Good Luck!
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March 13, 2019
Answer: Mobile tip after Revision Rhinoplasty Its sometimes difficult to have a nose be less dynamic during smiling. This is because there are many muscles that are moving during smiling. Some are outside the structure of the nose ( like in the cheeks). If they are excessively pulling on the nose, no surgery would be great in dealing with that. However, sometimes Botox can help in those instances. You would need to be evaluated in person to see if that was a realistic option for your. Other more definitive options include resecting the depressor Septi muscle to help stop pulling on the tip. Adding nasal tip support with grafting can also help, but all of these later options require a third surgery.Good Luck!
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March 13, 2019
Answer: Rhinoplasty Closed and Atraumatic Technique Hello,As you have your final results, next operation should be planned performed more professionally,Your issues can be fixed with tip refinement, shortening, by Closed and Atraumatic Technique you will havae maximum healing with less trauma and minimum edema&swelling.Best Regards,
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March 13, 2019
Answer: Rhinoplasty Closed and Atraumatic Technique Hello,As you have your final results, next operation should be planned performed more professionally,Your issues can be fixed with tip refinement, shortening, by Closed and Atraumatic Technique you will havae maximum healing with less trauma and minimum edema&swelling.Best Regards,
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Answer: Better photos needed However from the ones posted it is understandable your wish pic is very far from the result you have at present time; this is due to not needing a kind of revision rhinoplasty but a full customization or a discretional design of your nose, which is the most difficult type of rhinoplasties among all of them, is the so called "custom rhinoplasty".The tipe of nose you like has, based on the wish-pic posted, the following main features:-low and straight dorsum-very well defined and chiseled tip-supratip break-slightly upturned tip, very subtle rotationFor that purpose you need a surgeon with experience not only in revision but in custom or personalized builds, which often involves the replacement of your anatomical elements (cartilages and others) by new and handmade parts, made out of donor sites like ear, septum and commonly rib cartilage.See the link below to find few custom rhinoplasty cases of my own practice which I had the opportunity to operate successfully on. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
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Answer: Better photos needed However from the ones posted it is understandable your wish pic is very far from the result you have at present time; this is due to not needing a kind of revision rhinoplasty but a full customization or a discretional design of your nose, which is the most difficult type of rhinoplasties among all of them, is the so called "custom rhinoplasty".The tipe of nose you like has, based on the wish-pic posted, the following main features:-low and straight dorsum-very well defined and chiseled tip-supratip break-slightly upturned tip, very subtle rotationFor that purpose you need a surgeon with experience not only in revision but in custom or personalized builds, which often involves the replacement of your anatomical elements (cartilages and others) by new and handmade parts, made out of donor sites like ear, septum and commonly rib cartilage.See the link below to find few custom rhinoplasty cases of my own practice which I had the opportunity to operate successfully on. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
Helpful
March 13, 2019
Answer: 3rd revision rhinoplasty Moving onto a 3rd rhinoplasty operation does need to be taken on more cautiously. You have a long nasal skin sleeve which needs to be taken into account when doing your rhinoplasty. The tip and caudal septum will take the majority of the focus, assuming your middle nasal vault is not collapsing and causing breathing issues. Your tip needs to be raised and strengthened with cartilage graft to minimize drooping. Depending on how much of your septum was manipulated or ear cartilage graft used previously, this may mean taking a piece of rib cartilage for this purpose. This can all be done through a closed rhinoplasty technique. Read about Dr. Panossian's approach to revision rhinoplasty
Helpful
March 13, 2019
Answer: 3rd revision rhinoplasty Moving onto a 3rd rhinoplasty operation does need to be taken on more cautiously. You have a long nasal skin sleeve which needs to be taken into account when doing your rhinoplasty. The tip and caudal septum will take the majority of the focus, assuming your middle nasal vault is not collapsing and causing breathing issues. Your tip needs to be raised and strengthened with cartilage graft to minimize drooping. Depending on how much of your septum was manipulated or ear cartilage graft used previously, this may mean taking a piece of rib cartilage for this purpose. This can all be done through a closed rhinoplasty technique. Read about Dr. Panossian's approach to revision rhinoplasty
Helpful