Is It Safe to Undergo a Tertiary Rhinoplasty for Irregular Nose Tip? (photo)

Question

Hi, my fist surgery was in 2003 for a hump and bulbous tip. The doctor said he couldn't operate on my tip cause I have too soft cartilages and it would be too risky. In 2008 I had the 2nd procedure. This time, the doctor rearranged the bones and narrowed a bit the tip. He said too that my cartilages were too soft and had to put in grafts. This made my nose look fatter and crooked. Would it be dangerous trying to get my tip redone?My latest doctor refused it... Note: I have thick nose skin.

Paul S. Nassif, MD · Answer

An exam would really be necessary to give you the most accurate advice. In the hands of a specialist, improvements can likely be made with another revision. It is important to keep in mind that with thick skin, you may not achieve the level of tip definition you desire. From here, I would recommend doing your homework and seeking a consult with a board certified revision rhinoplasty specialist who has a great deal of experience. He/she may use computer imaging software to give you an idea of how the final result may appear. Good luck, and I hope this helps.

John M. Hilinski, MD · Answer

Knowing what I know about rhinoplasty and revision rhinoplasty surgery, I do not see anything real obvious that tells me you cannot have further surgery. You need to find someone who is well versed in revisionary rhinoplasty surgery to ensure you get the best possible result.

Jay Calvert, MD, FACS · Answer

I've got to say that from my experience, the outcomes of revision rhinoplasty depend on the amount of scar tissue and the goals.  Safety is an issue depending on what has been done and what needs to be done, but with proper planning, this can be worked out.  The problems that come up, however, can be unpredictable and an experienced surgeon can handle those issues.

Mohsen Tavoussi, MD, DO · Answer

Tertiary rhinoplasty can be done successfully but I believe you have had quite a good improvement from your first surgery at least from your frontal picture. You will have to determine the risks vs benefits of further surgery.

Steven Wallach, MD · Answer

The main issue for revision is the danger of re-elevating the nasal skin repeatedly.  This can cause problems.  The tip does look a bit full and may need further work.

Is It Safe to Undergo a Tertiary Rhinoplasty for Irregular Nose Tip? (photo)

Answers (8)

Answer: Rhinoplasty X 3

Answer: Rhinoplasty X 3

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Is It Safe to Undergo a Tertiary Rhinoplasty for Irregular Nose Tip? (photo)

Answers (8)

Answer: Rhinoplasty X 3

Answer: Rhinoplasty X 3

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.