What can be done? Primary rhinoplasty gone wrong

Question

I had my primary in January 2021. I went in requesting a natural result to my Roman nose to shave my dorsal hump slightly and to refine the tip. I was left with an extremely scooped, significantly lowered radix, upturn Barbie nose that moves in and out when I breathe. I look nothing like my old self and have been dealing with crippling identity loss due to the dramatic change in my appearance. What can be done?

Jeffrey H. Spiegel, MD · Answer

The answer is that additional cartilage can be placed into the nose to support areas that are collapsing (moving in and out with breathing), and to restore the shape you wish.  That would take about 90 minutes.

Andrew Miller, MD · Answer

If you feel like your bridge is too flat and your tip too turned off, those are things that can be improved with a revision rhinoplasty. A graft can bring up your bridge, and cartilage can be used to push your tip back down. If you don't want surgery, a filler can be tried to build up the bridge in the meantime. Be sure to see a rhinoplasty specialist for consultation.

Gianfranco Frojo, MD · Answer

I would recommend seeing a surgeon certified by the American Board of Plastic Surgery with experience in rhinoplasty. You need a full physical examination to determine what is going on with the nose. Sometimes a revision is required with rib cartilage to provide more structural support to the nose, particularly the airway.

Eric M. Joseph, MD · Answer

Without a profile photo, it is difficult to appreciate and over resected nasal bridge appearance on you. In fact, your frontal nasal appearance looks narrowed and improved. Wishing you well. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a Revision in order to derotate your nasal tip and build the bridge back up. In order to derotate the nasal tip scar tissue must be released and extended spreader grafts can be placed. I prefer to place a mastoid onlay graft on the dorsum in order to slightly build the dorsum back. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

Best wishes and good luck.

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

What can be done? Primary rhinoplasty gone wrong

Answers (5)

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