Should I get a revision?

Question

September 2021 I had a rhinoplasty to correct a deviated nose. When the swelling went down it looked like my septum was showing through my skin. I got filler 2 times to try and mask it. I went to see a revision specialist but was told that it was minor and advised against it as the change would be "minor". The people close to me say they can't see a problem and i can't shake the thought that it is extremly obvious and visible and am afraid it would start to show when i am old

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with nasal tip deprojection to shorten your elongated nasal tip. With good surgical technique, you could have an outstanding result. 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

Best wishes and good luck.

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

William Portuese, MD · Answer

There appears to be a light reflection along where your septum appears to be prominently showing through your very thin skin. Simply rasping this down would leave you with more of a flat top nose. Consider placement of a temporalis facia graft in that location to camouflage this area.

Should I get a revision?

Answers (2)