Does my New Nose Fit my Face? (photo)

I do not think you are over analyzing it. You see things you do not like and are justifiably looking for answers and an accurate description of the situation. Your posted photos show a cloverleaf shaped asymmetric tip that is projected too far forward out of the plane of your face. You perceive the over projected tip as a dip in the bridge but I do not think the bridge was over resected or that you have a true ski slope.

A revision consisting of shortening the inner limbs of the tip cartilages and suture reshaping/realignment of the tip cartilages with or without minor trimming of the tip cartilages may give you what you are looking for. Enough time has passed for you to have the revision if you wish. I think most surgeons would want to use an open approach for that type of revision. If you decide to go to another surgeon for the revision it would be in your best interest to bring copies of preoperative photos and the previous operative report to him/her.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Hi,

You absolutely are not over analyzing your nose; there are some real issues, and your doctor should be able to recognize them. Click on the "Web reference" link in my answer for a morph showing a correction of the main part of your issues.

The problem is not that your bridge was over-resected; I don't think it was. The problem is that the tip of your nose is still over-projecting. That is, it projects too far forward, away from your face. Also, when a bridge is carved, and then when the tip's projection is lessened by bringing it closer to the face, the tip should be elevated. That is, raised, to make the nose look shorter.  "Shorter" means that the distance from where the nose begins between the eyes, down the length of the bridge to the tip, is less. As you'll see in the morph, when the tip is brought back closer to the face, the bridge no longer looks over-resected!

The problems that you have are not unusual, because deprojecting and raising a tip involve complicated work on the tip cartilages. An over-projecting and drooping tip are two of the most common issues I see in patients who are considering revision surgery.

The good news for you is that, in competent hands, bringing the tip of the nose back toward the face, and elevating the tip, are two of the most predictable changes that are made in rhinoplasty, even in the much-more-difficult revision rhinoplasty. Also, the techniques that elevate and deproject the tip often also work to narrow the tip.

As revisions go, I would be optimistic for a good result for you.

Each surgeon will have his/her preference on what represents an "attractive" nose.  You raise some valid points regarding the appearance of your nose, though it sounds you and your surgeon are not on the same page aesthetically.