I had rhinoplasty 12 years ago and was very happy with the results. Over time the right side of my nose got a little concave and the original doctor injected silicone 1000 to fix it. I had really good results and am happy. However, he wants to revise the tip as it is slightly asymmetrical. He would not charge me much at all. But he says there is 80% success rate - but is pretty sure of good results. My husband doesn't want me to do it. Not sure if I should - would love opinions.
December 22, 2014
Answer: Worthwhile having a revision? What I tell all my patients is that if you are happy and satisfied with the results of a prior surgery, I do not recommend taking the small but definite risk that revision surgery carries. Of course, my willingness to do a revision rhinoplasty is quite high, as I do feel that in my hands there is a quite low risk of complications, and done properly even if conservatively, the results can be noticeably improved- in your case, restoring symmetry to the tip and slightly setting it back, and if indicated, filling in what is a slight depression on that right side.
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December 22, 2014
Answer: Worthwhile having a revision? What I tell all my patients is that if you are happy and satisfied with the results of a prior surgery, I do not recommend taking the small but definite risk that revision surgery carries. Of course, my willingness to do a revision rhinoplasty is quite high, as I do feel that in my hands there is a quite low risk of complications, and done properly even if conservatively, the results can be noticeably improved- in your case, restoring symmetry to the tip and slightly setting it back, and if indicated, filling in what is a slight depression on that right side.
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Answer: Nasal tip revision Your complaint regarding an asymmetric nasal tip is very common amongst patients who have had rhinoplasty 10-15 years ago. Over time, depending on how much of the underlying cartilaginous structures were resected, this can lead to progressive contracture of the nasal skin. As a result, the asymmetries that are present within the cartilage can become more obvious and pronounced. Your pictures of the nasal tip are not very clear, however, tip revisions can include a variety of approaches. For revisions, cartilage from the septum or ear is usually sufficient enough to create structure and symmetry to the tip. I would urge you to use caution with having filler placed into the nasal tip as there are risks associated with this such as compromising the blood supply to the overlying skin which can cause tissue loss and greater deformity.
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Answer: Nasal tip revision Your complaint regarding an asymmetric nasal tip is very common amongst patients who have had rhinoplasty 10-15 years ago. Over time, depending on how much of the underlying cartilaginous structures were resected, this can lead to progressive contracture of the nasal skin. As a result, the asymmetries that are present within the cartilage can become more obvious and pronounced. Your pictures of the nasal tip are not very clear, however, tip revisions can include a variety of approaches. For revisions, cartilage from the septum or ear is usually sufficient enough to create structure and symmetry to the tip. I would urge you to use caution with having filler placed into the nasal tip as there are risks associated with this such as compromising the blood supply to the overlying skin which can cause tissue loss and greater deformity.
Helpful 1 person found this helpful
