Open roof, that tilts to one side and one side caved in. What is the best revision approach? (Photo)
After a nose fracture at young age, I had a big hump which had a unnatural look (a hook look) and deviation. I decided to have a rhinoplasty in my early 20s, now I'm early 30s. The surgeon that did the first rhinoplasty did what I've been told was a quite poor and rushed job. I have an open roof, that tilts to one side due to the surgeon being right handed, as well as very retracted nostrils compared to before. In addition, a CT scan revealed that one of the sides have caved in, probably due to the lack of structural integrity in the nose. I've talked to several rhinoplasty experts regarding the approach, and I've narrowed down to two. 1. I really like his results. Focus on achieving a natural look. Seems to have very good understanding of what nose aesthetic fit each face. He is a bit restrictive on the work he wants to do, for example does not want to address the caved in side, and mostly thinks the tip is the issue (while I think the open roof is equally important). For grafting, he'll use septum and temporal fascia. He estimated a 2,5-3 hour surgery. 2. is very cutting edge. Revision expert and uses the newest methods. He wants to use rib graft in a SPLF approach. He also want to pull out the caved in side. He is clearly extremely competent, but the surgery he proposes is more extensive. He estimates a 6 hour surgery. I wonder if anybody could share their views on the different methods and give any advice on what I should consider when making a decision of the two?
