Can all of this be fixed with a revision and if so what kind of graft? (Photos)

Question

I had a rhinoplasty about 6 years ago and was unhappy with the results. My nose looks to short for my face, my septum still looks deviated (it doesn’t even look like touched it), my nasal bones are uneven, and it looks like to much cartilage was taken from my tip. What really bothers me is my upper lip. It looks like my philtrum protrudes now.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Thanks for the question and photo. You can make improvements to your nose. Open procedures, which fully expose the underlying cartilage, are great choices in revision surgery. The reason is the extent to which the surgeon can be exact with certain changes. Graft material usually comes from the septum but, in revision cases, that may not exist. Then, we go to your rib. Cadaver rib is a choice though not ideal. The tip, bridge, and midvault would need to be restructured. Seek consultation with a facial plastic surgeon who takes photos and performs morphing to allow the desired changes to be clear. Hope this is helpful!

Can all of this be fixed with a revision and if so what kind of graft? (Photos)

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