Recommended surgeries to fix my nose, smooth out my eyes and straighten brows? (Photos)

Question

I've had rhinoplasty and otoplasty (one to pin the ears back and one to trim the lobes). I think I'd like straight eyebrows, the bags under my eyes smoothed, rhinoplasty again (particularly around my nostrils), and maybe to make my ears more symmetrical. The issue, I was told by one surgeon, is that there's not enough cartilage to use from my ears for rhinoplasty again. A simulated picture of what you could do would help!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision rhinoplasty to address your alar retraction.  The best way to improve this is with alar rim grafts.  If you do not have adequate septal cartilage for this, then MTF cartilage could be used for graft material.   You may also benefit from a revision otoplasty.  In regards to your lower eyelids, an in-person evaluation would be needed.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

William Portuese, MD · Answer

A revision rhinoplasty procedure can accomplish narrowing and straightening the bridge line in addition to reducing the hanging columella.  It better set of pictures  are required to make a determination about  eyelid surgery.

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Recommended surgeries to fix my nose, smooth out my eyes and straighten brows? (Photos)

Answers (2)

RHINOPLASTY PROVIDERS NEAR YOU