Should I trust the same doctor for a revision rhinoplasty? (Photo)

Question

Or is it "you messed up once, you'll mess up again"? I tried my best to avoid having a revision by choosing the top doctor but now I'm left with an asymmetrical/unrefined nose. I'm 11 months post op but the asymmetries are in the nasal bones and upper lateral cartilage (not swelling). So asymmetry and a much larger nose than the original objective (nostril flare, tip..) I am so depressed and don't know what to do. Am I being too unreasonable? Many thanks in advance.

Evan Ransom, MD, FACS · Answer

Thank you for the question and the photos. Revision rhinoplasty is a difficult operation and can be quite unpredictable. However, the person who knows best what was done during your first surgery is your original surgeon. If you have a good relationship with that provider, and you can agree on what areas need to be addressed, this is likely your best option. If you do not have a good relationship with your surgeon, then you will need to seek second opinions. If possible, it would be best to get any operative notes from the first surgery for review before the revision. Best of luck moving forward!

Thomas Trevisani, MD · Answer

Generally speaking - it's best to stay with your original Surgeon, unless conditions preclude it completely. Only you can make that determination. 11 months is quite early for final evaluation when it comes to open Rhinoplasty because- the open technique creates more swelling that lasts longer than with  the closed technique. Give it more time and discuss your concerns with your Operating Surgeon

William Portuese, MD · Answer

As long as the that surgeon has extensive experience with rhinoplasty  and revision  rhinoplasty, it's probably best to trust them.  The Limited photographs demonstrate a outwardly displaced left nasal bone, and inwardly displaced left upper lateral cartilage, and a hanging columella.  All of  these issues can be addressed with either closed or open rhinoplasty  depending upon the surgeon's preference. Yes, it is important to have realistic expectations, especially with the revision rhinoplasty. Also important to know  that there is no perfect nose, just improvement

Michael Elam, MD (retired) · Answer

Dear salvamea, I would suggest that you speak with your surgeon regarding your concerns and if he/she is experienced and has confident that your goals can be accomplished in their hands then you should be fine. If your surgeon does not then perhaps he/she will recommend you to another surgeon for a revision procedure. It never hurts to have a second opinion to be fully informed. Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

Based on these pictures I don't think you're being unreasonable when you consider a revision. If your surgeon is an experienced rhinoplasty specialist they can do the revision. You can get a second opinion from another surgeon if you have doubts.

Should I trust the same doctor for a revision rhinoplasty? (Photo)

Answers (5)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: Same Surgeon for Revision Rhinoplasty

Answer: Same Surgeon for Revision Rhinoplasty

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Should I trust the same doctor for a revision rhinoplasty? (Photo)

Answers (5)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: Same Surgeon for Revision Rhinoplasty

Answer: Same Surgeon for Revision Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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