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Bear in mind there is a natural and untreatable degree of asymmetry in human face, the noses are never identical on both their halves and they necessrilly do lean a bit to one side (nose means pyramid and tip, alae too).However, your current result is below suboptimal, firstly because indeed the tip deviation, which was not an issue, now has worsened, pluse:-inverted V and open roof, with outlined ridge in the middle due to septal exposure; no infracturing and very poor management of middle vault-over aggressive resection of alar cartilages at their lateral cruras-being a boxy tip with verticalized lateral cruras (aka parenthesis tip), this is untreated and even aggravated by an aggresive and undue suture plication of the tomes-massive lack of alar rim support, leading to its collapse inwards and upwards retraction, hence the unsightly columellar show and indirect nostril enlargementYou deserve a good and comprehensive revision rhinoplasty; do research well, consult with more than a dozen professionals with solid reputation, passion for perfectionism and talent, offering you a 5-6 hours procedure with multiple grafting from the structure rhinoplasty field.
Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include placement of extended spreader grafts to correct your mid-vault asymmetry., tip refinement, straightening the overall nose, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Your photographs are very limited. It looks like you have some facial asymmetry. Your nose is asymmetry, one alar is higher than the other and the nose seems to be leaning towards one side. You would benefit from a rhinoplasty revision.Best Wishes,Gary Horndeski, M.D.
IMO you don't have visible septal deviation, an in person examination is bound here to ascertain if you have any deep non visible deviation, which is a possibility, however you do actually show a natural nostril asymmetry, within normality of human faces and not a cause of any of your related...
On the CT scan I don't see any changes on the septum; given this, you have to discuss with your surgeon what he actually did inside the nasal fossa besides the turbinate reduction. In spite of the evident septal deviation, the airway seems patent and functional, in person testing must ascertain...
Hello and thank you for your question. It is unlikely that your dental procedure caused this, but an intranasal evaluation would be helpful. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person. Best wishes and good luck...
It looks like you still have a hump, and yes, your tip has losts projection, and also your tip has dropped and sits lower than it was before surgery. The bump probably appears more prominent than it was before surgery because it wasn't changed during surgery, and when the tip loses projection,...
Hello and thank you for your question. A closed nasal reduction aims to reposition displaced nasal bones. If your septum is also deviated, you may consider septoplasty +/- rhinoplasty at a later date. Most surgeons advise waiting 6 months from most recent trauma before doing this procedure. Best...
Hello and thank you for your question. Although an exam in person is ideal with an intranasal evaluation, from your images alone it appears that you have a deviated septum with significant turbinate hypertrophy (large inferior turbinates). You can likely benefit from a turbinate reduction, a...
