I had a septorhinoplasty in 2017 which did not completely fix my deviated septum, so I had a revision septoplasty in 2019. I now have a bulge on the right side of my nose, which is creating a crooked appearance of the tip. I can’t tell what the bulge is, but when pressing on the top of it I can hear a crackling sound like there is mucus trapped. There are also a lot of uneven bumps on the bridge, and for some reason my tip has become pointier over time. What are my options here?
Answer: Rhinoplasty Revision I would recommend a revision rhinoplasty with cadaveric fresh frozen cartilage. In addition, I would recommend placing some temporalis or posterior auricular fascia over the dorsum of the nose to help further camouflage the irregularities. This is a very complex issue that needs to be addressed by a really experienced plastic surgeon in rhinoplasty. I would recommend performing a revision rhinoplasty with additional cartilage grafts. I recommend finding a board-eligible or board-certified plastic surgeon (not "facial plastic") with aesthetic fellowship training.
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Answer: Rhinoplasty Revision I would recommend a revision rhinoplasty with cadaveric fresh frozen cartilage. In addition, I would recommend placing some temporalis or posterior auricular fascia over the dorsum of the nose to help further camouflage the irregularities. This is a very complex issue that needs to be addressed by a really experienced plastic surgeon in rhinoplasty. I would recommend performing a revision rhinoplasty with additional cartilage grafts. I recommend finding a board-eligible or board-certified plastic surgeon (not "facial plastic") with aesthetic fellowship training.
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July 6, 2023
Answer: Rhinoplasty I would recommend a cosmetic rhinoplasty to smooth out the dorsum and refine and straighten the tip.
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July 6, 2023
Answer: Rhinoplasty I would recommend a cosmetic rhinoplasty to smooth out the dorsum and refine and straighten the tip.
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July 6, 2023
Answer: You appear to have thin nasal skin that is showing irregularities after rhinoplasty surgery. Nasal skin is the thinnest at the junction of the bone and cartilage of the nose in the upper 1/3 of the bridge, right where you are seeing your irregularities. Based on your photos, this is associated with a crooked nasal appearance and an overprojected and droopy nasal tip appearance. If you are happy with the appearance of the tip of your nose, microdroplet Silikon-1000 injections may be considered for camouflaging these irregularities and for achieving a straighter nasal appearance, depending on your examination. Depending on your examination, you may require revision rhinoplasty surgery. Please consider consulting with several reputable rhinoplasty specialists so you can see what might be best for you moving forward. I hope this helps. Sincerely, Dr Joseph
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July 6, 2023
Answer: You appear to have thin nasal skin that is showing irregularities after rhinoplasty surgery. Nasal skin is the thinnest at the junction of the bone and cartilage of the nose in the upper 1/3 of the bridge, right where you are seeing your irregularities. Based on your photos, this is associated with a crooked nasal appearance and an overprojected and droopy nasal tip appearance. If you are happy with the appearance of the tip of your nose, microdroplet Silikon-1000 injections may be considered for camouflaging these irregularities and for achieving a straighter nasal appearance, depending on your examination. Depending on your examination, you may require revision rhinoplasty surgery. Please consider consulting with several reputable rhinoplasty specialists so you can see what might be best for you moving forward. I hope this helps. Sincerely, Dr Joseph
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July 5, 2023
Answer: The option is probably a revision. More ... From these photos, the bulge appears to be your right tip cartilage. When the right tip cartilage is stronger/longer than the left one, it can push the tip to the left. These tip cartilages also are responsible for holding the tip down, and it appears that the tip of your nose might sit lower than you might feel is ideal. Elevating the tip might be a good thing to do. In any case, if you are to have a revision, you should look at the whole spectrum of what you still are not satisfied with, and at least try to address all of them. If a revision were done, the irregularities on the bridge could probably be smoothed as well.
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July 5, 2023
Answer: The option is probably a revision. More ... From these photos, the bulge appears to be your right tip cartilage. When the right tip cartilage is stronger/longer than the left one, it can push the tip to the left. These tip cartilages also are responsible for holding the tip down, and it appears that the tip of your nose might sit lower than you might feel is ideal. Elevating the tip might be a good thing to do. In any case, if you are to have a revision, you should look at the whole spectrum of what you still are not satisfied with, and at least try to address all of them. If a revision were done, the irregularities on the bridge could probably be smoothed as well.
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