Revision rhinoplasty - sensation & fake look (Photo)

There are as many different opinions as there are surgeons, so your question will likely garner many different answers. From my experience as a surgeon who performs and specializes in revision rhinoplasties, I will share my opinion. I absolutely dislike rib cartilage. To my eye, it looks fake and unnatural, puts a scar on your body, and the rib does not behave in congruity with your other nasal anatomy. Instead, when a patient presents with issues such as yours -- when they are in need of building up that which taken away in surgery by an overzealous surgeon -- I much prefer deantigenized cartilage. Granted, it requires special -40 degree refrigeration, but in my opinion, it's a worthwhile expense when it means that I can give a patient a much more natural-looking revisionary result.

Hello and thank you for your question. Based on your description you may benefit from Nasal Tip derotation and tip deprojection. This can be accomplished by releasing all the scar tissue and placing extended spreader grafts to derotate your tip, as well as perform nasal tip deprojection at the same time. 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