Should I consider revision and would a good outcome be fairly easy? (Photos)

Question

Hi, I am one year post op and realize I liked my nose better when it was still swollen and had more of a lifted rip . I feel like it's very long now and does not fit my face as well as it did a few months ago . I also don't like the hanging columella and alar retraction left. Should I consider revision? Would good outcome be fairly easy? How long of a recovery would it be just to lift the tip and fix nostrils?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. It appears you might be a good candidate for revision surgery to correct the concerns you have listed. Keep in mind that revision surgery is even more complex than the initial procedure, due to factors like scar tissue and loss of structural support. Make sure you work with an experienced, board-certified facial plastic surgeon with expertise in revision techniques to ensure an optimal outcome.

Edwin F. Williams, III, MD · Answer

Hello and thank you for your question. We do the vast majority of our rhinoplasty (including revision rhinoplasty) by the closed approach. Based on your pictures, I think you have reasonable goals of increasing the tip definition and improving the alar retraction. I would recommend consultation with a board-certified facial plastic surgeon who has experience with revision rhinoplasty. Best of luck!

William Portuese, MD · Answer

Revision rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so this is not an easy fix. Much more information is needed such as a copy of the operative report, and a full set of facial photographs including the frontal view make a determination about how best to proceed. It's also important to know how much cartilage is left over on the inside of your nose for grafting purposes. The hanging columella is going to require a columella plasty which can be performed through closed rhinoplasty approach. The dorsum of the nose appears slightly high, and can be slightly lowered and refined. The alar retraction on the left side it's going to require a composite graft harvested From the ear.

Should I consider revision and would a good outcome be fairly easy? (Photos)

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Everything you need to know about Revision Rhinoplasty

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Should I consider revision and would a good outcome be fairly easy? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.