Restore dorsal hump, restore wider nostrils? Please help, I miss my old nose.

Question

Are there any surgeons who can reconstruct the dorsal hump and widen the nostrils back to their original form. The doctor pulled up my nose it appears, and by cutting the lateral crura he made my nasal tip narrow which I do not like. I do not identify with this nose and regret it terribly. Is there anyone who specializes in nasal reconstructive surgery more specifically adding the bump and widening the nostrils. The bump made my nose look thinner in the bridge.

Alejandro Nogueira, MD · Answer

Rebuilding a dorsum that was over resected or botched and re-expanding nostrils which look pinched due to also structural issues is feasible with structural revision rhinoplasty techniques.Seek the advice and hands of a serious professional who offers to you a time-consuming and expensive procedure; stay far from minimally invassive snake-charming procedures, synthetic implants, fillers, wrapped diced cartilage, etc.
See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath.

Thomas A. Mustoe, MD, FACS · Answer

You can add gears which can restore a dorsal hump, lengthen a nose or widen a nose but unfortunately there is no way to widen nostrils without a skin graft which would leave highly visible scarring.  I suggest consulting with a surgeon experienced in revision rhinoplasty to find out what is realistic.

Jonathan Kulbersh, MD · Answer

I recommend getting a consultation to go over your concerns and your desired results. Revision rhinoplasty is a technically challenging procedure and I would suggest that you seek a surgeon that has a good track record for natural results. There a few select of these surgeons in each major city.  I would look at their reputations, board certifications, and before and after pictures.  
I hope this helps.

William B. Rosenblatt, MD · Answer

There is an old saying -- you cant go home again. Once tissue has been removed, you cant add it. Perhaps you  can have some grafting to the dorsum to get a bump -- but after your alar bases are trimmed, that is it.

Restore dorsal hump, restore wider nostrils? Please help, I miss my old nose.

Answers (4)

Answer: Your nose

Answer: Your nose

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Everything you need to know about Revision Rhinoplasty

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Restore dorsal hump, restore wider nostrils? Please help, I miss my old nose.

Answers (4)

Answer: Your nose

Answer: Your nose

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.