Wanted tip work done. PS said have to do bridge work bc tip & bridge will not be balanced. Morph pix bridge was so slightly brought down. But post surgery, bridge is going downward unnatural look. Was sugeon not skilled or is this an ugly style? very bad painful recovery. I lost my look bc this new nose is completely different from old. My question, Does it look like too much bone work was done and is this dangerous in means of collapsing/ weak bones in future? Could I have just done my tip?
Too Much Removed from Bridge? (photo)
Doctor Answers 16
Balance between nasal tip and bridge
It is true that the bridge and tip need to be balanced, and the shape of each influences the overall proportions and look of the nose. I agree that typically when you want tip work, the dorsum also needs to be addressed to make sure there is balance and harmony. Unfortunately based on the photo the balance appears to be lacking.To analyze a nose thoroughly, one also needs to see more of face such as the eyes and chin. Based on what I can see, the nose can definitely be improved with augmenting the dorsum and refining the tip. I am not sure if this is soon after surgery and swollen, or if this is your final result. I tell patients to wait a year after the initial surgery to allow for swelling to resolve. I think a good first step for you at this point is to have an honest discussion with your surgeon about what you had hoped for and what he/she thinks. If your surgeon feels comfortable and has experience in revision rhinoplasty, that is one option. Often patients who are disappointed with a result do not feel confident the same surgeon will be able to deliver the results they want to achieve. Other times the surgeon actually only does primary rhinoplasty and not revisions, or has limited experience doing revisions. In any of these scenarios, it is best to at least get a second opinion from a board certified plastic or facial plastic surgeon that has experience with revision rhinoplasty. That is the only type of surgeon who will have the full set of tools required to adequately correct a nose. Sometimes you will get advice that matches your original surgeon and then at least you can go into the next surgery with more confidence.
Unhappy with rhinoplasty
The bridge of your nose has certainly been lowered significantly. Miscommunication and technical steps can both contribute. The important question is not really how it happened but rather if it is important enough for you to have it improved, and if so, is your previous surgeon the right one for the job. That answer can only come from your gut after spending more time discussing the issues with your surgeon. Good luck.
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Communication and Understanding Between Patient and Rhinoplasty Surgeon Most Important for Happy Post-Op Patient (and Surgeon)
The good news is that I do not believe that you are in future danger of having collapse of your nasal bones in the future. The bad news is that there was a disconnect between what your aesthetic rhinoplasty goals were, and what your PS gave you at surgery. The communication between patient and rhinoplasty surgeon pre-operatively is so very important. Patients should be confident that their surgery understands what they want, and what they would be happy with post-operatively. If your nasal appearance continues to bother you at a year or later after your surgery, then you may consider revision rhinoplasty to build up your nasal dorsum. Good luck and be well.
Too much removed from the bridge
From the photos you posted, Yes. There seems to be a classic saddle nose deformity from excess bridge removal. This will give a washed out appearance from the frontal view.
Your tip seems to be over-turned as well. Both of these features create a more feminine appearance.
Consult an experienced Revision Rhinoplasty Surgeon in your area.
Dorsal hump reduction during rhinoplasty surgery
Very often, when performing revision of one portion of a nose this may lead to the necessary alteration of other parts of the nose to keep proportions aesthetically pleasing. It is difficult to assess your nose from the photos given. If you truly do have an over resected dorsum, it is possible to augment the area with cartilage or even an implant.
Too Much Removed from Bridge?
There is interrelation between the different areas of the nose with each other. The overprojected tip can make the dorsum look low and vice versa. You can either have the dorsum augmented or the tip deprojected.
Too Much Removed from Nasal Bridge?
If too much was removed from the nasal bridge it can be revise with the placement of septal or ear cartilage grafts. For the past 35 years I have had consistent and reliable results using this technique. Even though you do not like the cosmetic results it is not dangerous.
It is difficult to tell from the photos, but there was evidence of a bony hump on the bridge pre-op. It is true that an attractive result is balanced, but you can have tip work done without the bridge. I think that would have been a mistake for you, but also there can be an overreduction of the bridge you may not like.
Continue to follow up with your surgeon to ensure that you progress as planned.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
Could I have just done my tip?
In my opinion, yes the nasal tip could have been thinned during Rhinoplasty without reduction of the dorsal, bony hump.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.