I had rhinoplasty 2 years ago to have 3 things done: 1) Dorsal hump reduced 2) Septum shortened 3) Nostrils reduced I am now starting to regret 1) and 2). Reason being, the smaller dorsal hump seems to accentuate the bulbessness of my nasal tip, and by shortening my septum, my nostrils actually appear more pronounced.
I would like to know whether it is possible to get my dorsal hump back to how it was, and to have my septum lengthened slightly so that my nostrils do not look so upturned. If so, how effective would the results be?
April 9, 2010
Answer: Things to consider for revision rhinoplasty Not having seen your before surgery photos or knowing what was done at surgery one cannot say whether the surgery was performed poorly or the approach chosen did not cover the presenting problems. Unfortunately you cannot go back in time to where you were before surgery or reverse parts of the previous surgery. The photos you submitted only have a left side view which limits any assessment I could make. With those limitations in mind I can say that from the photos the current issues appear to be: a ski sloping of the bridge possibly due to overresection of the dorsal hump, an overly rotated tip (upwards so there would be more than desired nostril show on a front view), there is some notching of the outer rim of the nostil on the left (cannot see the right nostril) the angle between the upper lip and strip of skin between the nostrils is much greater than the male norm of 90 degrees the chin is receded (which you may or may not want to address) Although this recommendation would depend on a face to face exam given the limited data above it appears you would need augmentation of the bridge with a graft or implant (to address the ski slope and tip rotation #1 and #2), a skin cartilage graft inside the nostrils (to address #3), cut back of the anterior nasal spine (to address #4) and possibly some additional trimming of the lower edge of the septum. Whatever you choose to do and whoever you choose to do the revision surgery make sure you get copies of the photos from before the first surgery and the first surgery operative reports so the next surgeon has a road map to work off and choose the next surgeon carefully. You don't want to set yourself up for a third surgery.
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April 9, 2010
Answer: Things to consider for revision rhinoplasty Not having seen your before surgery photos or knowing what was done at surgery one cannot say whether the surgery was performed poorly or the approach chosen did not cover the presenting problems. Unfortunately you cannot go back in time to where you were before surgery or reverse parts of the previous surgery. The photos you submitted only have a left side view which limits any assessment I could make. With those limitations in mind I can say that from the photos the current issues appear to be: a ski sloping of the bridge possibly due to overresection of the dorsal hump, an overly rotated tip (upwards so there would be more than desired nostril show on a front view), there is some notching of the outer rim of the nostil on the left (cannot see the right nostril) the angle between the upper lip and strip of skin between the nostrils is much greater than the male norm of 90 degrees the chin is receded (which you may or may not want to address) Although this recommendation would depend on a face to face exam given the limited data above it appears you would need augmentation of the bridge with a graft or implant (to address the ski slope and tip rotation #1 and #2), a skin cartilage graft inside the nostrils (to address #3), cut back of the anterior nasal spine (to address #4) and possibly some additional trimming of the lower edge of the septum. Whatever you choose to do and whoever you choose to do the revision surgery make sure you get copies of the photos from before the first surgery and the first surgery operative reports so the next surgeon has a road map to work off and choose the next surgeon carefully. You don't want to set yourself up for a third surgery.
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February 1, 2015
Answer: Revision rhinoplasty can reverse most of your issues. It is very important that you see a revision rhinoplasty specialist who is very experienced in correcting problems such as yours. Look at their before and after results of noses like yours.
Helpful 1 person found this helpful
February 1, 2015
Answer: Revision rhinoplasty can reverse most of your issues. It is very important that you see a revision rhinoplasty specialist who is very experienced in correcting problems such as yours. Look at their before and after results of noses like yours.
Helpful 1 person found this helpful