How risky is a third rhinoplasty? (Photo)

Hi @Elisheva123. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Good Afternoon! A revision procedure to address the narrowness and tip refinement shouldn't be out of the question. I would suggest an open approach to be able to see exactly what's going on underneath the skin. At that time, scar tissue could be removed and better structure placed to recreate the tip. If you haven't tried already, steroid injections, compressions, low salt diet, and taping would be worthwhile to see if improvements can be made - even this far out. Hope that helps!

Thank you for your question and for providing a photo. It is safe to undergo a revision rhinoplasty after one year has passed following your last procedure. Details on how each of the previous rhinoplasty surgeries was performed would also need to be addressed. Each rhinoplasty procedure becomes more complex, due to scar tissue and other factors.

If you’re concerned about a third surgery, you may consider non-surgical rhinoplasty. This injectable treatment uses hyaluronic acid dermal fillers to reshape the nose and may reshape a wide nose tip. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your medical history and concerns on a more individual basis.

Hi,
I generally think that if you are healthy and the skin and soft tissues of your nose are healthy, then it is reasonable to undertake a revision rhinoplasty, even if there was more than one surgery before. You do have to allow for sufficient time for the nose to heal; if your last surgery was in 2019 then that should be plenty of time.
However, I would say that these surgeries usually require a different approach, and frequently that means using some other source of cartilage like ear cartilage or rib cartilage in order to get the desired result. This would be the biggest difference between a primary surgery and a revision surgery. Ironically, typically we need to add these cartilages in the form of well-placed grafts to actually make the nose appear smaller and thinner.
You would need to consult with a board-certified facial plastic surgeon to review more specifics of whether you are a good candidate for surgery, but just based on your description and photo, revision is definitely a potential option. I would also encourage you to look for surgeons who focus on and have expertise in revision rhinoplasty, as they would be able to provide much more detailed and specific information to your case. You will almost certainly find different answers if you speak to multiple surgeons and so it is definitely worthwhile to speak to as many as you can. There is no need to "settle" until you have gotten all of your questions answered!

Thank you for your question. Your nose still looks big, and maybe it's bigger than your original nose. This phenomenon is not uncommon in bulbous tip correction. That doesn't mean you have to give up. More satisfactory results can be expected through revisional surgery. Bad result may be because you had a postrhinoplasty fibrosis syndrome. However, even in such a case, good results can be induced through scar tissue removal and alar cartilage realigmenment, and medication or steroid injection for scar tissue prevention may be required after surgery. Of course, it is necessary to expect realistic result rather than perfect result.