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Click on the "Learn more" link, just below my response, or go here:FacialSurgery.com/RealSelf/RealSelf_Newhalldianne.htmlI made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.I narrowed the tip of your nose. You can see the outline of the two cartilages because they are strong and curved. Working on those cartilages would narrow them, narrow the tip, and reduce the dent.You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle. Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.I'd love to hear what you think of the morph. Did it seem to address your main concerns?Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.
Thank you for your photos. A rhinoplasty procedure should typically be able to address the concerns you have mentioned. To be able to fully assess your needs, I would recommend you seeing a board-certified plastic surgeon within your area, for an in-person consultation. He or she can then provide you with the best options.
A surgical septo-rhinoplasty is a powerful procedure that adds, removes, or re-positions tissue in the nose for better aesthetics - often completely reshaping the nose. Based on your photos and complaints, the dent in the tip is likely due to splaying of the tip cartilages. The tip is also a bit bulbous / boxy. The shape may be improved by refinement of the tip. This may be achieved by removing some of the cartilage of the tip followed by re-grafting the cartilage to obliterate the dent. Suture reshaping of the cartilage will create a more delicate tip - finishing the look. The septum can be corrected at the same time.These are big maneuvers that are often intended to create millimeter changes to the shape of the nose once it heals. The goal is a smaller, more natural looking nose that creates better balance to your face. For more info on rhinoplasty, see the link below. A detailed examination will help delineate the best surgical treatment. Consultation with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.
Deviated septum are treated with surgery if they are causing issues (breathing problems, snoring, etc.). Small divers on the nose can be helped without surgery with non-surgical rhinoplasty, using fillers to fill the diet, but a permanent fix requires surgery. Without an exam, it will not be possible to fully evaluate you and give you recommendations.
Hi, thank you for the question, the photo is not the best to evaluate this case, but with a septoplasty the deviation can be corrected, i suggest a tip improvement surgery ate the same time.
Hello and thank you for your question. Based on yourphotograph, you may benefit from a tip refining rhinoplasty. If you have a deviated septum, a septoplasty can be performed at the same to address this also. Make sure you specifically look at before and afterpictures of real patients who have had this surgery performed by your surgeonand not just a computer animation system. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Hi,Thank you for including photographs. In order to fix a deviated septum, you must have a septoplasty. This involves making an incision inside the nose, freeing the tissues over the septum and cutting out the deviated portion of the septal cartilage/bone. You only need to have a septoplasty if you have breathing issues related to a deviated septum or if the deviated septum if contributing to an undesirable outward appearance of the nose. The cleft on the tip of the nose is caused by shape an position of the tip cartilages. You have a surgical and possibly non-surgical option to fix this. If you are going to have a septopalsty, you should figure out if you want the tip fixed because they should be done at the same time. Surgery to correct the tip will require reshaping of the tip cartilage with sutures and probable a conservative resection of the cartilages. The non-surgical option is to carefully place dermal fillers in the tip of the nose to fill the cleft. You should schedule a consultation with a rhinoplasty specialist who can examine the inside and outside of your nose and discuss your options in greater detail.Best,Mehdi Sina, MD
The photos do not provide enough information,. but if you have a septal deviation and issues with the nasal appearance, they both can be addressed with rhinoplasty.
A deviated septum is repaired with a septoplasty which is an operation performed in the back of the nose to only improve your airflow dynamics. A septoplasty will not change the shape of the nose. A rhinoplasty procedure can accomplish reduction of the bulbous tip, reducing the dent between the tip of the bridge with a spreader graft, shaving down the dorsal hump, and narrowing the nasal bones with osteotomies. The cleavage between the two cartilages will be removed when suture techniques or cartilage grafting is placed in that area . Both a cosmetic rhinoplasty and a functional septoplasty can be performed simultaneously, but expect to pay for the cosmetic component yourself. This will allow one anesthesia and one recovery period. For more information and many before-and-after examples, please see the link and the video below
The best way to learn about your options would be to consult with one or two board certified rhinoplasty specialists - with training and experience specific to the face - and with numerous before/after photos with results you like. They can address both the deviated septum as well as indent. An in person consultation is highly recommended so that your nose can be properly evaluated. You would definitely benefit from digital computer imaging during your consultation so you can get a good idea of what your nose will realistically look like after the revision. This also helps establish an agreed upon game plan with your surgeon. Good luck!Best,Dr. S.
Irritation of the eyes immediately after rhinoplasty could be due to a corneal abrasion suffered during surgery. Irritation that develops two months after rhinoplasty would be unlikely to be related to the rhinoplasty. However, a through history and physical exam is the only way to know for sure...
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...
Thanks for your question and photos. For refining the tip of the nose, either a closed or open (my preferred method to get maximum control of symmetry) tip rhinoplasty can be performed which refines the bulbous area with minimal scarring. An open technique allows better visualization and ...