Can I get nose rasping under local anesthesia? (Photo)

HelloAs I understand from your history your surgeon used rib cartilage to reshape your nose in your revision surgery.Rib catilages are stiffer and stronger than original alar cartilages. As a result of that stiffness they can cause some aesthetic problems.For breathing problems I recommend you...

Although yours is an extreme example, the most common post-rhinoplasty deformity I see in my revision rhinoplasty practice consists of an over-resected dorsum and an over-rotated tip.... nature hates a vacuum, so your tip rotated up when the cartilage above it was removed and left unsupported......

Unfortunately grafts can become visible years after rhinoplasty as all of the swelling completely resolves and the only solution is a revision to remove or reposition the gray. The tissues have usually healed with enough structure that the graft can just be removed. That is why when we...

You do have an inverted V deformity based on these photos. A closed rhinoplasty can accomplish improvement with osteotomies placed in the nasal bones to narrow them, and spreader graft placement under the collapsed upper lateral cartilages to widen them. All incisions are placed on the inside...

A closed revision rhinoplasty is certainly possible, however it needs to be done under general anesthesia. The photo shows an over-rotated tip and a hanging columella. All incisions are placed on the inside of the nose. Consider a chin implant for the recessive chin profile.

The technique (open or close) is really dependent on your surgeons preference and what technique they are more accustomed to. Having said that, it is generally agreed revision rhinoplasties and where substantial changes are expected, the open technique is preferred and likely to give you a...