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Tip revision, columella removal, tip too high - is reversible? (photos)

O
owl3123Feb 12, 2023

This has been my 3rd op - please don't judge me, I'm not a surgery addict. The second op was great, but I stupidly obsessed about somet tip asymmetry. The 2nd surgeon agreed to do a tip revision for the asymmetry. I unfortunately asked him to raise the tip a little bit and he cut too much from my columella too. The nostrils are also unnaturally close and the tip is flat from the front. My philtrum looks longer, I can't recognize myself. Is there anything to do? Please help!

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on Feb 14, 2023
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Eric M. Joseph, MD

Adding filler to your left supra-alar crease for improved tip symmetry may be considered for a straighter and more symmetrical tip appearance. If you have breathing problems, or if you are looking to achieve a narrower and straighter tip appearance, revision surgery may be necessary. Hope this...

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Thomas Trevisani, MD

In person exam is essential as well as review of your op-report and pre-op photos. Based on limited photos - it appears that improvements can be achieved through a closed technique. I suggest that you consult with an experienced Board Certified PS

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Eric M. Joseph, MD

I’m sorry you had a bad experience. Based on your photos, your scars don’t appear to be “terrible”, and if alar narrowing scars are visible and nodular, you may benefit from dermabrasion - Dr Russel Kridel. The base view of your nose shows tilting of your columella, and that is not seen on fron...

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Gianfranco Frojo, MD

Revision rhinoplasties are some of the most challenging cases that plastic surgeons perform. I would wait at least 18 months after revisionary rhinoplasty to make any conclusion about the outcome. Regardless, I would either return to your surgeon or seek a second opinion from an experience...

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Eric M. Joseph, MD

In our practice, We recommend microdroplet Silicon 1000 Injections for Nostril lowering after rhinoplasty and retraction. The feasibility of a treatment like this would require an examination. Generally, it is best for the nostril margin to be soft and to be free of swelling. We also suggest...

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