What's going on with my nose? Bumps and crack after rhinoplasty several years post-op. (photo)

Question

I got rhinoplasty a few years ago, I keep seeing bumps and now I see this crack? Is my nose slowly breaking down? Am I a candidate for a revision?

Steven M. Denenberg, MD · Answer

There seems to be a separation between the upper third of your nose and the bottom part. That often happens because the nasal bones were not narrowed, but likely they should have been. Then, other views, such as the profile view and the 3/4 views, could tell me whether other changes might be made during a revision, such as narrowing the tip, or elevating the tip, or bringing the nose back closer to the face. You're in a position where you decide whether getting more improvement is important to you, and then you work with a revision expert to come up with a good goal for the operation. Make sense?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. 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

Jeffrey H. Spiegel, MD · Answer

As swelling has gone down and skin has contracted you have identified areas where the underlying structures are not correct. A revision rhinoplasty can repair this. We do this frequently.

Eric M. Joseph, MD · Answer

Based on your photos, the lower half of your nose appears to be widened. It is difficult to appreciate bumps that you are seeing. Sometimes, indentations and irregularities that occur after healing may be camouflaged with microdroplet Silikon-1000 injections, depending on somebody's examination. I hope this helps! Sincerely, Dr Joseph

William Portuese, MD · Answer

From these limited photographs, you have what's called an inverted V deformity, which happens when the upper lateral cartilages have fallen inward, and the nasal bones are still too wide. A revision rhinoplasty is going to be required, it's also important to know how much cartilage is left over on the inside of your nose for grafting purposes, since you're gonna need bilateral spreader grafts and osteotomies

What's going on with my nose? Bumps and crack after rhinoplasty several years post-op. (photo)

Answers (5)

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