Can I get my old nose back with revision?

Question

I am 8 months post op from rhinoplasty and I hate my nose. I had a dorsal hump that I wanted removed. My nose after the surgery is small, flat and shorter than before with no projection. I did not know removing the bump would cause all this. I think the bump was shaved down too much causing a scooped profile when I wanted a straight profile. My tip has also been rotated and looks very un-natural, I had a droopy tip before. Is it possible to add cartilage and rotate the tip to my old nose?

Eric M. Joseph, MD · Answer

In general, it is not feasible to get your old nose back after nasal surgery. It is conceivable to improve upon what you have and to make your nasal appearance more acceptable and pleasing to you. Please consider meeting with several reputable rhinoplasty specialist, and you may wish to bring a copy of your operative report and preoperative photos so all shadows will become clear. I hope this helps. Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It is possible to de-rotate an overly rotating tip during a Revision with release of scar tissue, followed by placement of extended spreader grafts. Other maneuvers can also be performed such as a fascial dorsal augmentation. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can I get my old nose back with revision?

Answers (2)