Would Three Nose Jobs be Too Many?

Depending what was done during your last two surgeries, and depending on what you prefer your nose to appear like this point going forward, you can certainly be a candidate for a third surgery. Your goals must be clearly communicatted and this is best done in an in-person consultation with a revision rhinoplasty specialist. I would be happy to provide you a comprehensive evaluation with a review of your history and goals along with a viewing of patients with your similar issues who successfully underwent revision rhinoplasty.

I read your concern, and reviewed your photo. If you would like to have the height of your nasal bridge raised, you should consider an Injectable Filler procedure which would have no downtime, and would be a fraction of the cost of surgery. I prefer to use Silikon-1000, an off-label filler, for permanent results.

If you want to have the tip of your nose refined, that would require a second revision rhinoplasty surgery. Your outcome would be dependent on what's causing the fullness in your tip: scar tissue vs. excessive cartilage. You would likely require a cartilage tip-graft to see narrowing through your thick skin. If you feel you would require another revision rhinoplasty, you should consult several revision rhinoplasty specialists to see what could be accomplished.

I hope this is helpful for you.

Regards from NJ.

In general there is no limit to the number of rhinoplasty surgeries that one can have. With successive surgery there may be limitations with what can be achieved due to scar tissue, disruption of the existing anatomy, etc.

Judging by the one photo you submitted I could see that augmenting your bridge may help a bit with refining your tip. It may sound a bit counter-intuitive, but by improving the projection of the bridge and tip the nose will appear narrower and more refined. This effect is especially helpful in patients with thicker skin.

Every surgical procedure adds a level of difficulty due to additional scar tissue, compromise of blood supply, and possible loss of key structural elements. One photo view is not sufficient to make a complete recommendation. However, one piece of advice I will share is that tertiary Rhinoplasty requires a very defined and realistic view of what your goals are with further surgery, shared with a very experienced Rhinoplasty surgeon.  Failure to do so will lead to a fourth Rhinoplasty and so on.

Dear Kensome,
Reviewing your photo reveals a bulbous tip that is not in harmony with the rest of your nose. The third and final procedure, a tip rhinoplasty is a reasonable procedure, if it is performed by an expert revision rhinoplasty surgeon. The only limitation, if you have thick nasal skin. In this case reducing nasal tip to more defined form is challenging. Good luck. Dr. Kevin Sadati

It is as safe as the surgeon is good! If your goals can be achieved then you can proceed. Make sure you see an experienced revision rhinoplasty expert. Whether it is done open or closed depends on what needs to be done to the nose. In 35 years of rhinoplasty I have never had vascular compromise with open rhinoplasty revisions. Some I do closed and others open.

There is no hard and fast limit to a number of surgeries. However, each time you operate on the nose there is additional scar tissue and the support framework for the nose can get compromised. This can be a concern. Additionally, if you have thin skin every irregularity can be noticeable. Good luck and be careful

Multiple attempt at revision rhinoplasty can be treacherous.  The quality of the tissues may make it more diffiuclt to mold and work with.  Defining the tip more, say in a thick skinned nose, may not be attainable as say it would in a thin skinned nose.  If you are considering addtional surgery, then I would recommend going with a very experienced revision rhinoplasty surgeon.


 

A third rhinoplasty is not unreasonable if you had issues or regrets from the second one years after the first. Since you are 18 months out from the last procedure you current result is soft and stable and unlikely to change. The third procedure might work out best if you try computer simulation to try out the result and changes on paper beforehand. This may help ;you and your surgeon understand the goal in mind.

Best of luck,

peterejohnsonmd

It all depends on what was done, how you look now, and what changes you would like to see. It is true that there are diminishing results with the number of surgeies done. See a skilled rhinoplastic surgeon.