Should I seek a revision or am I being too picky about my results?

I agree that your tip is more bulbous than it should be for your nose. Also, your tip is still very string in its forward projection away from your face. Both of those features can be improved greatly in a revision, in expert hands. Also, the surgical techniques that allow for a good de-projection (bringing the tip closer to the face) *also* can narrow the tip significantly. And the bridge could be straightened as well.

How *much* to narrow the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that the great majority of plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

We typically advise our rhinoplasty patients that the goals of surgery are improvement and not perfection. The good news is that many of your concerns are not easily visible on your photos. If you have some slight indentations or Bonnie irregularities, depending on your examination, microdroplet Silikon 1000 injections may be considered for smoothing areas and precluding for the surgery. I hope this is helpful, and considering asking a question with both before and after photos. Sincerely, Dr. Joseph

Hello and thank you for your question. Based on your photographs, you are a great candidate for revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers.. 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