I am unhappy with my post-op results ESPECIALLY with my profile. I liked my profile before, now it looks terrible: tip protrudes, looks like my bridge has been scooped out. I did not ask for the structure of my side profile to be changed!! I wanted my tip reshaped to be smaller, and nostrils as well especially from the front but now it looks pinched in and shapeless, almost like an "MJ" effect especially when I smile. Any insight? Should I be patient? Should I require revision?
Answer: Revision rhinoplasty for the saddle nose deformity. Normally we wait one year for final healing. However if your nose is indeed scooped out and will require revision. The dorsum will have to be augmented because your nose bridge looked better preoperatively and will need grafting from the septum or ear to repair this. See a very experienced revision rhinoplasty surgeon if you do not have confidence in your primary surgeon.
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Answer: Revision rhinoplasty for the saddle nose deformity. Normally we wait one year for final healing. However if your nose is indeed scooped out and will require revision. The dorsum will have to be augmented because your nose bridge looked better preoperatively and will need grafting from the septum or ear to repair this. See a very experienced revision rhinoplasty surgeon if you do not have confidence in your primary surgeon.
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February 12, 2015
Answer: Revision rhinoplasty Your profile has certainly changed. In general, it is most appropriate to wait at least a year for any revision nasal surgery; however, in this case, I think earlier surgery could be considered. You have lost the appropriate height of your nasal dorsum. You will need to have this replaced with cartilage from either your septum, your ear, or your rib. In addition to the profile changes, the frontal view of your nose would also benefit from revision to better define the tip. Be sure to talk to an experienced rhinoplasty surgeon who can help minimize the risks associated with revision surgery.
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February 12, 2015
Answer: Revision rhinoplasty Your profile has certainly changed. In general, it is most appropriate to wait at least a year for any revision nasal surgery; however, in this case, I think earlier surgery could be considered. You have lost the appropriate height of your nasal dorsum. You will need to have this replaced with cartilage from either your septum, your ear, or your rib. In addition to the profile changes, the frontal view of your nose would also benefit from revision to better define the tip. Be sure to talk to an experienced rhinoplasty surgeon who can help minimize the risks associated with revision surgery.
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February 11, 2015
Answer: 6 Months After Rhinoplasty Although I generally counsel patients to wait at least a year before seeking revision Rhinoplasty, there are certain aspects of the nose shown which will not improve in this time frame. The photos show a middle vault collapse, or what we as Rhinoplasty Surgeons describe as a saddle nose deformity. This draws attention to your nasal tip, which does appear more refined than the preoperative photo. If you are unhappy with your current appearance, you will need to have a revision. Refine your search based on experience and results over price.
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February 11, 2015
Answer: 6 Months After Rhinoplasty Although I generally counsel patients to wait at least a year before seeking revision Rhinoplasty, there are certain aspects of the nose shown which will not improve in this time frame. The photos show a middle vault collapse, or what we as Rhinoplasty Surgeons describe as a saddle nose deformity. This draws attention to your nasal tip, which does appear more refined than the preoperative photo. If you are unhappy with your current appearance, you will need to have a revision. Refine your search based on experience and results over price.
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Answer: Scooped Out Nose Yes, the dorsum of your nose appears over-reduced. A temporary solution would be injection with a filler. I prefer a hyaluronic acid at first since it can dissolved if you don't like it. Ultimately a revision may be necessary. Rhinoplasty revision rates with a good surgeon is atleast 5-10 %. Discuss with your surgeon.
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Answer: Scooped Out Nose Yes, the dorsum of your nose appears over-reduced. A temporary solution would be injection with a filler. I prefer a hyaluronic acid at first since it can dissolved if you don't like it. Ultimately a revision may be necessary. Rhinoplasty revision rates with a good surgeon is atleast 5-10 %. Discuss with your surgeon.
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February 11, 2015
Answer: Pinched tip At 6 months postop, there is still healing that is going to occur. That being said, I do see your concerns on your profile and frontal views. It appears that some of the dorsum was resected while further projecting your nasal tip creating a discontinuity between the two. These features are unlikely to change that much in the coming months. The pinched tip may be due to over resection of the lower lateral cartilages, scarring, or excessive narrowing of with sutures. I would recommend following up with your rhinoplasty surgeon so they can evaluate your nose and determine if there is anything to be done. If you feel like your concerns are not being addressed then it is always acceptable to seek a second opinion. Best of luck to you.
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February 11, 2015
Answer: Pinched tip At 6 months postop, there is still healing that is going to occur. That being said, I do see your concerns on your profile and frontal views. It appears that some of the dorsum was resected while further projecting your nasal tip creating a discontinuity between the two. These features are unlikely to change that much in the coming months. The pinched tip may be due to over resection of the lower lateral cartilages, scarring, or excessive narrowing of with sutures. I would recommend following up with your rhinoplasty surgeon so they can evaluate your nose and determine if there is anything to be done. If you feel like your concerns are not being addressed then it is always acceptable to seek a second opinion. Best of luck to you.
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