Revision regret, this would be my 5th revision. Would it be a huge problem to have it shortened again?

Question

I went through with my revision and hate the outcome. I would give anything for my old nose back even though I had alar retraction. My new nose is sooo long and pointy and hanging. I miss my cartilage tip. The doctor lengthened, narrowed, projected and derotated it. Would it be a huge problem to have it shortened again, rotate tip and make my tip more cartilaginous? I basically want my old nose back, just with no retracted alar. I don't know anyone who will work on me since it will be my 5th.

Nima Shemirani, MD · Answer

Dear hgt338,

Your nose looks very nice overall, but if you wanted to lift the tip slightly, that can be achieved. 
We would have to get detailed as to the look you want (lifted tip without retraction of the ala)
Surgery does get more risky the more often you do it, so we would have to weigh the pros and cons of undergoing another surgery

Best regards,
Dr Nima

Richard Mark Winters, MD · Answer

....not because you are unreasonable, but your skin takes a beating and there is scarring.... that said. It is obvious what you like about your tip before #4.... nice symmetry; tip definition and better projection

It’s not fair be told ‘no’ simply on the basis of the number of surgeries a patient has had.... more important is what parient’s concerns/expectations are and an expert’s opinion on whether or not they can help deliver on them AND a careful/honest risk/benefit analysis

If you stick to real revision rhinoplasty experts, you should get a solid evaluation and recommendation... stick with surgeons who have been in practice a long while, have a practice focused on rhinoplasty and who do not shy away from difficult revisions...

Good luck...

Gurkan Kayabasoglu, MD · Answer

Hello, first of all, thank you for your question and pictures. All your issues can be addressed to a well-executed rhinoplasty in the right hands, you can benefit from rhinoplasty. You can achieve a functionally and cosmetically improved nose with Rhinoplasty performed with piezo technique, which is the latest. Rhinoplasty with the piezo technology will be able to protect your soft tissues and provide you maximal healing. You can visit the link below to get more information about Piezo technique.

The point you need to be careful is, your surgeon needs to be skilled and experienced enough to handle the situation due to the fact that revision rhinoplasties are always harder than the primary rhinoplasty surgeries. You can be careful while looking for the best surgeon is the time between the before and after photos of your surgeon. The after pictures should be at least 1 years after the operation and you need to be sure that you see too many after photos that are at least 3 years after the operation. You need to seek a professional, experienced board-certified facial plastic surgeon to get the best result. Best Regards

Revision regret, this would be my 5th revision. Would it be a huge problem to have it shortened again?

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Revision regret, this would be my 5th revision. Would it be a huge problem to have it shortened again?

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.