I feel like the right side of my nose comes in more than my left side leaving me a weird shaped nose. Also when I smile my nose seems to spread out wide. I feel like it is also still long and droopy. Surgery was done on 8/6/14 and it is now 1/31/15. I hope I'm just being my own worst critic!!
Answer: My comments I don't have very good news for you, your nose is a compilation of technical erros and not to do's. Let's summarize as follows:-nasal pinching: the surgeon over resected the lower lateral cruras, not only in amoung, particularly about the area removed, he took away the so considered "taboo" tails of both lateral cruras of the alar cartilages, which are "holy" and never any resection should be applied on them, this lead to the ugly dimples and the, I am convinced of this, impairement in your breathing mechanism-high osteotomies: the surgeon did not locate the in-fractures (routine maneouver to close the nasal bridge after dorsal hump removel) at the so called Joseph's angle (angle between nose and maxilla), it is very visible the fracture lines so near the dorsum and at the very right nasal bone, which is no the correct place; this leads to an odd nasal shape with a broad base and an over-narrowed upper part and bridge, with a step in between-there is an under resection (relatively) of your nasal tip-looks like the tip is hanging and too low, maybe due to poor support-I can't comment about the side view, not supplied in your picsMy advice is for a total revision of your rhinoplasty in the best hands of a very well experienced and reputated revision rhinoplasty surgeon, travel wherever he is.I am an UK's GMC registered plastic surgeon with number 7357207 as well as registered in Spain, Madrid, where I do practice attending almost exlusively English speaking patients coming from the UK and USA, also other countries; I kindly invite you to a free of charge consultation online with me without any obligation; google about my reputation and this may show to you my experience in such cases, you'll also find easily our website of UK patients.
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Answer: My comments I don't have very good news for you, your nose is a compilation of technical erros and not to do's. Let's summarize as follows:-nasal pinching: the surgeon over resected the lower lateral cruras, not only in amoung, particularly about the area removed, he took away the so considered "taboo" tails of both lateral cruras of the alar cartilages, which are "holy" and never any resection should be applied on them, this lead to the ugly dimples and the, I am convinced of this, impairement in your breathing mechanism-high osteotomies: the surgeon did not locate the in-fractures (routine maneouver to close the nasal bridge after dorsal hump removel) at the so called Joseph's angle (angle between nose and maxilla), it is very visible the fracture lines so near the dorsum and at the very right nasal bone, which is no the correct place; this leads to an odd nasal shape with a broad base and an over-narrowed upper part and bridge, with a step in between-there is an under resection (relatively) of your nasal tip-looks like the tip is hanging and too low, maybe due to poor support-I can't comment about the side view, not supplied in your picsMy advice is for a total revision of your rhinoplasty in the best hands of a very well experienced and reputated revision rhinoplasty surgeon, travel wherever he is.I am an UK's GMC registered plastic surgeon with number 7357207 as well as registered in Spain, Madrid, where I do practice attending almost exlusively English speaking patients coming from the UK and USA, also other countries; I kindly invite you to a free of charge consultation online with me without any obligation; google about my reputation and this may show to you my experience in such cases, you'll also find easily our website of UK patients.
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Answer: Crooked nose following rhinoplasty It is very helpful to have your preoperative photos to compare with the current appearance of your nose. There has been dramatic improvement in the overall appearance of your nose from your rhinoplasty. I cannot comment on the status of your dorsum or a polly beak without a profile photo available. In terms of your frontal views, there is concavity on the right side of your dorsum and this issue will likely require a spreader graft to the right side in order to visually straighten out the nose. Having said that, I would like to emphasize to you how much more esthetically pleasing your nose is following your rhinoplasty compared to your original nose and I think to some extent we are all our own worst critic. I think the best approach at this point is to discuss your concerns with your surgeon and weigh your options. If you did nothing, I think you will still be happy you had your rhinoplasty. Best of luck.
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Answer: Crooked nose following rhinoplasty It is very helpful to have your preoperative photos to compare with the current appearance of your nose. There has been dramatic improvement in the overall appearance of your nose from your rhinoplasty. I cannot comment on the status of your dorsum or a polly beak without a profile photo available. In terms of your frontal views, there is concavity on the right side of your dorsum and this issue will likely require a spreader graft to the right side in order to visually straighten out the nose. Having said that, I would like to emphasize to you how much more esthetically pleasing your nose is following your rhinoplasty compared to your original nose and I think to some extent we are all our own worst critic. I think the best approach at this point is to discuss your concerns with your surgeon and weigh your options. If you did nothing, I think you will still be happy you had your rhinoplasty. Best of luck.
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February 2, 2015
Answer: Rhinoplasty refinement Overall you have a very nice improvement in your nose. Although you did not provide a lateral view you likely have a pollybeak deformity due to vertically oriented lower lateral cartilages that obstruct your supratip break. By reorienting them you can correct this. Also a bit of rasping on the dorsum can correct the irregularity that shows us as a crooked nose. Finally, rotating the tip upward can help with the droopy tip.
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February 2, 2015
Answer: Rhinoplasty refinement Overall you have a very nice improvement in your nose. Although you did not provide a lateral view you likely have a pollybeak deformity due to vertically oriented lower lateral cartilages that obstruct your supratip break. By reorienting them you can correct this. Also a bit of rasping on the dorsum can correct the irregularity that shows us as a crooked nose. Finally, rotating the tip upward can help with the droopy tip.
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February 2, 2015
Answer: Crooked Nose after a Rhinoplasty You are approximately 5 months after your surgery. While it will take up to 1 year to see the final results, you are getting a good estimation of your result at this time. The main goal of a rhinoplasty is to make a nose that blends with the face. No rhinoplasty surgeon can create the perfect the nose.At this point in time, you first need to let your nose continue to heal. I will look different 6 months from now. At that time, if you are concerned about your results, I would ask your rhinoplasty surgeon his thoughts about improving your concerns. If you choose to have an additional procedure, I would choose wisely. A revision rhinoplasty can be challenging. I hope this helps.
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February 2, 2015
Answer: Crooked Nose after a Rhinoplasty You are approximately 5 months after your surgery. While it will take up to 1 year to see the final results, you are getting a good estimation of your result at this time. The main goal of a rhinoplasty is to make a nose that blends with the face. No rhinoplasty surgeon can create the perfect the nose.At this point in time, you first need to let your nose continue to heal. I will look different 6 months from now. At that time, if you are concerned about your results, I would ask your rhinoplasty surgeon his thoughts about improving your concerns. If you choose to have an additional procedure, I would choose wisely. A revision rhinoplasty can be challenging. I hope this helps.
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February 2, 2015
Answer: Crooked nose crooked problem Correcting a crooked nose to make it perfectly straight is a crooked problem. I say that because even in the best of hands it might not be completely correctable. The goal is to have maximal improvement. In your case there is a significant improvement. It is best that you leave it alone especially if you are not having any breathing problems. If you still want some correction, then wait for one whole year and get a second opinion. RegardsDr. J
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February 2, 2015
Answer: Crooked nose crooked problem Correcting a crooked nose to make it perfectly straight is a crooked problem. I say that because even in the best of hands it might not be completely correctable. The goal is to have maximal improvement. In your case there is a significant improvement. It is best that you leave it alone especially if you are not having any breathing problems. If you still want some correction, then wait for one whole year and get a second opinion. RegardsDr. J
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February 2, 2015
Answer: Nasal deformities after prior rhinoplasty You have a multitude of problems on frontal view and I encourage you to see a surgeon who specializes in revision rhinoplasty including ear and rib cartilage grafting, which you may very well need to address your aesthetic concerns, which will become (if they haven't already) functional problems. Whether or not you have a pollybeak deformity cannot be assessed without seeing a profile/side view, nor is it all that relevant in your case. The bigger problem is the overly narrowed nasal bridge, nasal deviation, supra-alar pinching, asymmtric alae, asymmetric nostrils, and hanging infratip lobule. It appears on frontal view that you do not have adequate tip support either. Again, please see a revision rhinoplasty specialist even if this entails traveling out of state or even internationally. Best wishes!
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February 2, 2015
Answer: Nasal deformities after prior rhinoplasty You have a multitude of problems on frontal view and I encourage you to see a surgeon who specializes in revision rhinoplasty including ear and rib cartilage grafting, which you may very well need to address your aesthetic concerns, which will become (if they haven't already) functional problems. Whether or not you have a pollybeak deformity cannot be assessed without seeing a profile/side view, nor is it all that relevant in your case. The bigger problem is the overly narrowed nasal bridge, nasal deviation, supra-alar pinching, asymmtric alae, asymmetric nostrils, and hanging infratip lobule. It appears on frontal view that you do not have adequate tip support either. Again, please see a revision rhinoplasty specialist even if this entails traveling out of state or even internationally. Best wishes!
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