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Revision rhinoplasty to make nose shorter and smaller once again? (Photo)

zv.aFeb 13, 2024
I had a second revision rhinoplasty to fix a collapsed nostril. The dr was able to make my nose even and more narrow from the front using rib cartilage but he changed my side profile and made it very long very tall and very pointy. I'm very depressed because I never asked him to change anything about my side profile. I'm waiting to get a revision but I want to know can I get a much smaller shorter nose with a round tip like I used to have? How will this be achieved with all the rib graft?

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Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 382 Reviews
Answered on Feb 17, 2024
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Gianfranco Frojo, MD

Injecting anything into the nose can be dangerous, especially if a needle is used for injection (compared with a blunt tip cannula). There are some people that are very comfortable injecting fat grafting and/or filler into the nose. I would have a very honest conversation with your surgeon about...

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Lexie Wang, MD

Other than the fact that your tip is clearly pinched (meaning your surgeon aggressively tried to narrow your tip and went a little too far), I don't see any major faults with your nose. This pinching may affect your ability to breathe through your nose in the future and/or you may not like how...

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David M. Kowalczyk, MD, MBA, FACS

Hello. Thanks for your question. It could be from improper suturing and eversion of the skin. As well, grafting material may be needed to slightly push-out the columella to allow for a more smooth contour. There are options. Perhaps, seek more consultations to see what can be done.

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