Can I get a revision rhinoplasty to improve the bump on my bridge, nose tip and uneven nostrils? (Photo)

Question

I really need a 2nd revision. Bump on bridge, no tip of nose, uneven nostrils which are too flared. Looking for a highly skilled surgeon to fix this mess of my nose.

Gianfranco Frojo, MD · Answer

This is a very complex problem to fix as the nose has been foreshortened with inadequate tip projection and over-rotation. I would seek a true revision rhinoplasty expert to address your issues. It will be more than likely necessary to harvest rib cartilage in order to adequately repair the issues that you are currently dealing with.  I recommend seeing a plastic surgeon with at least 6 years of integrated plastic surgery training and ideally an additional year of aesthetic surgery fellowship training.

John Michael Thomassen, MD · Answer

I would recommend a rhinoplasty to lengthen your nose, smooth out your dorsal aesthetic lines, and even out your tip and nostrils.  You may not have sufficient septal cartilage if it was previously harvested so ear cartilage or cartilage allograft may be needed.

Andrew Miller, MD · Answer

From the photos, the sidewalls of the lower nose can be improved with ear cartilage to make it stronger and less pinched. The added benefits of doing this would be that the cartilage grafts can also create a more refined tip, push it down a little bit, and possibly improve the nostril asymmetry. Be sure to see a rhinoplasty expert for consultation.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos you provided your nose looks too upturned, there is no tip definition, the nostrils are very flared and uneven. I highly recommend you a revision rhinoplasty to correct all these issue. You will most probably need a reconstruction with rib cartilage so we can make a good reconstruction and give you a more defined and elegant tip.
Best regards!Prof. Dr. Selcuk Inanli

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