Remember every revision surgery on the nose gets more and more complicated. You need to be conservative and extremely careful in your approach. You might have to accept some of the issues. The nostril area is especially hard to change. You can however address the bulge in the left middle and upper nose with your doctor. That can be usually corrected with an osteotomy. Also, there are no photos from before surgery and that makes it difficult to assess the improvement. It is the degree of improvement that I look for in deciding if we need to do any more.
This answer is not intended to give a medical opinion and does not substitute
for medical advice. The information presented in this posting is for patients’
education only. As always, I encourage you to see your personal physician for
further evaluation of your individual case.
Unhappy about appearance after 4 rhinoplasty procedures
I understand your concerns and can see some of the issues you have. If you have confidence in your surgeon than continue to have honest discussion. My only concern would be if this surgeon can achieve the goals if he/she has failed already twice. Every time you go back is harder.