Need a revision after an over aggressive rhinoplasty. My nose is twice as small as before. Should I accept it? (Photo)

Question

I asked to the surgeon to shave the bump down and refine the tip and that's the result, i went to the craziest surgeon in the world. i did a lot of researches and i'm sure that to come back to a well proportioned and relatively big nose i need ribs and ear/septum. I esteemed i need 7 mm on the dorsum and 5/6 mm in tip projection. Am i asking too much? should i accept to live with a small nose? Do you have any advices about which surgeon to choose?Thanks a lot in advance for the help

Nima Shemirani, MD · Answer

Dear Slevin_kelevra,If you are unhappy with the results and this is affecting your quality of life, then a revision rhinoplasty is a reasonable requestYou can make the nose larger and it would likely require a rib graft in order to get the results that you wantAs far as measurements go, it is best to have a consultation to see what would be realisticWe may be limited to how much skin is available to cover the new, larger noseYou should choose a rhinoplasty specialist who performs a significant number of revision rhinoplastiesStart here on RealSelf and look through some picturesBest,Nima Shemirani

Kenneth Hughes, MD · Answer

The dorsum and tip can be augmented with cartilage grafts from the ear if this is what you want.Kenneth Hughes, MDLos Angeles, CA

Samir Shureih, MD · Answer

You hardly needed a radical rhinoplasty. Correction to get you back a good dorsum would require dorsum augmentation and you have many options. A thorough examination and review of the operative report, and what you expect, then the options are discussed with youSamir Shureih MD. FACSsshureih@msn.com

Richard W. Fleming, MD (retired) · Answer

Cartilage grafts will be necessary to improve your profile and nasal definition. For the profile I would use diced cartilage harvested from your ears wrapped in fascia. Only you can decide if it is worth the time and expense to have a revision. Select a surgeon who specializes in revision rhinoplasty.

Need a revision after an over aggressive rhinoplasty. My nose is twice as small as before. Should I accept it? (Photo)

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Need a revision after an over aggressive rhinoplasty. My nose is twice as small as before. Should I accept it? (Photo)

Answers (4)

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