I Am 26 Yrs Old Wanting a 4th Rhinoplasty Surgery for Revision. Is 4 Too Many? Please Help Me. (photo)

You have had a lot of surgery.  So ones natural inclinication may be to say enough is enough.  However in looking at your photos, there does appear to be room for improvment/correction.

with that said.  i would urge you to seek someone expereinced in revision rhinoplasty.

your case in complex enough that you need to be seen in person to evaulate if ther is the potential for true improvement with yet another procedure.

i would be happy to see you if you care to visit austin.  its not too far from nola

   The dent can be improved by filler or with grafting.  I am not sure why there have been so many problems with your nose, but I am sure it can be improved.  Kenneth Hughes, MD Los Angeles, CA

In general, the more your nose is operated on, the more difficult each surgery will be. I would recommend seeking an in-person consult with an experienced and board certified revision rhinoplasty specialist. He/she will be able to assess your nose in person and provide you with advice on how you may make an improvement. I hope this helps, and I wish you the best of luck. 

You have had lots of nose procedures and at some point you need to consider that certain goals can and can not be reached without damaging the underlying structure of the nose. There are things about your nose that could be improved, but I would not go near an in-experienced nasal surgeon. This is not for rookies. You need a surgeon who specializes in revision Rhinoplasty surgery and knows how to fix the nose with their eyes closed.

Over the internet in your specific situation is very hard to address the issues. Best to seek in person consults. But I would only treat the skin issue. Good luck 

 

You have had several rhinoplasty procedures and the question which you face is are the improvements you want achievable by a fourth procedure? In the hands of a skilled revision rhinoplasty surgeon it is my belief by your photographs that there is room for improvement. A direct examination would be necessary for a true evaluation. I am not sure when you had your third procedure done however it is imperative you wait at least a full year for any revision surgery. Your original surgeon revising your nose one month post op is not recommended. Make sure you see a skilled revision rhinoplasty surgeon who has expertise and a lot of experience in the field of revision rhinoplasty.

Best regards, Michael V. Elam, M.D.