Pain 4 years post op rhinoplasty - what could cause this?

Hello and thank you for your question. I'm so sorry to hear about your situation, that sounds incredibly frustrating! It could be due to pressure to the tip skin from below, but without any pictures and an in-person exam it's hard to say exactly. Regardless, a revision rhinoplasty can best address your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose. I'd be able to open up and solidly reinforce the underlying structural framework of your nose (to prevent distortion and retraction from scarring forces over time)- and to address the pain, I could soften the interface between this and the overlying skin using a special type of graft that most other surgeons don't know about!

Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually).

If you are unhappy with the appearance of your nose, I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Hello and thank you for your question. If your tip is over projected, overly stiff, and overly tensioned then a revision may look better and relieve the feeling you are having. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

There is something not right. We'd revise your nose and "clean it out' of foreign materials and grafts to prevent this.