Nose looks too straight and masculine for my face - How can I reverse my revision? (photos)

Question

In August 2018 I had a rhinoplasty to correct a hump on my nose and droopy, bulbous tip. Then in March 2021, my surgeon performed a revision to deproject my tip a bit more and correct a hanging columella that developed over time. Now that I'm about a year out, I feel as though my nose looks far too straight and masculine for my face; one of my goals with my initial surgery was to get a nice supratip break, but that has completely disappeared. How can I get my nose closer to how it was before?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. While an in-person consultation is certainly necessary to evaluate your facial structure, skin, and bone health, it does appear that your original surgeon deprojected your nasal tip without targeting the nasal bridge as well. Addressing this concern may be as simple as lowering the dorsum very slightly to enhance the supratip. I highly recommend scheduling a consultation with a board-certified facial plastic surgeon to address your concerns.

Barry M. Weintraub, MD, FACS · Answer

It appears that when your surgeon de-projected the tip, he or she did not address the bridge as well in order to keep the supratip intact. I must admit that I love revision rhinoplasty cases such as yours, because the results can create wonderful improvement! The key to expert revision-rhinoplasty surgery is not simply to make the requested changes, but to see how those changes contribute to the overall aesthetic of the nose. One must always continue to study the aesthetics of what is being created on the operating-room table. So, while your prior surgeon did what was requested, the result has left you with a nose that is not as nuanced and graceful as you’d like. Of course, a physical exam would be necessary to properly assess you. I suggest that you reach out to a board certified plastic surgeon who has decades of experience with revision rhinoplasty.

Marc Polacco, MD · Answer

Thank you for your question. A starting point for many surgeons is to inject the supratip region with a steroid. This serves to thin tissue, which may be enough to give the result you're aiming for. However, a risk of steroid injection is that the skin can thin too much or develop redness. Otherwise, revision surgery may be indicated.

Thomas A. Mustoe, MD, FACS · Answer

The nose has been slightly deprojected and overall smaller noses dominate the face less.  It Woukd be straightforward in revision to lower the dorsum further to give you a slope and supratip break.  A formal revision rhinoplasty Woukd be necessary.

Nose looks too straight and masculine for my face - How can I reverse my revision? (photos)

Answers (4)

Answer: Nose looks too straight and masculine after rhinoplasty

Answer: Nose looks too straight and masculine after rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Nose looks too straight and masculine for my face - How can I reverse my revision? (photos)

Answers (4)

Answer: Nose looks too straight and masculine after rhinoplasty

Answer: Nose looks too straight and masculine after rhinoplasty

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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.