What can be done to fix these issues after revision rhinoplasty? (Photos)

Based on your photos, I agree that you appear to have thin nasal skin. This is associated with several irregularities of your tip and low bridge. Depending upon your examination, microdroplet Silikon-1000 may be considered for adding volume to your tip for a less pinched tip appearance, and for adding volume above your tip where your bridge maybe a bit low. Hope this helps! Dr Joseph

Hello @futurenurse2024, thank you for your question. Revision rhinoplasty can be difficult, as it involves complex changes to pre-existing structures. In general, when addressing issues after a revision rhinoplasty procedure, the key is to create balance between the components of the nose while avoiding creating further irregularities in shape or appearance. After 12 months it is possible to evaluate what may have happened in the process. It can be associated with several factors related to the surgical technique used. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Thank you for your query. The problem with having thin skin is that all grafts become more visible and a camouflage of the grafts may need to be done. An easy solution, at this stage may be to get an injection of a small amount of filler. If not, a small camouflage graft may be needed for the depression as well as the visible cartilages. Please discus your concerns and your options with your Plastic surgeon who should be able to help. All the best!

Hello! Thank you for your question.From the photos your nose looks crooked and it looks like the graft on the tip mooved. It is showing too much and I am pretty sure it is very hard tip. I recommend you a revision surgery, you will most probably need a cartilage reconstruction.Best regards!

There are lots of different kinds of grafts-- we'd want to know whether what we see at the tip of your nose is graft material, or how your natural cartilages were handled during the operation. In general, though, the task is to see what's causing the nose to look unnatural, figure out what to change to get it better, and make a surgical plan that's as predictable as possible. What I see most are how the tip seems to draw attention, and that dent in the tip, and the whole lower half of the nose seems wide-ish, and you didn't post profile or near-profile photos, but it looks as though the tip could be elevated as well.
Generally, in a complicated revision, it's a good thing to make the overall nose smaller, if possible, so whatever problems remain, they reside on a smaller nose, and thus they are themselves smaller and hopefully bug us less.
How long has it been since your surgery? There doesn't seem to be a huge amount of swelling in these photos.
How *much* to make these changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those like you who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.