Revision rhinoplasty for ultra thick skin? (Photo)

Question

Hi all <3 had rhinoplasty primary in 2017. I want to get a more defined tip, and be able to make my side profile reduced, and have the root of my nose start lower down from my forehead. I am 36 y/o, middle eastern, I think ultra thick skin and oily nose. What is an achievable result for me with revision rhinoplasty? I also have compromised breathing (I think nasal valve collapse). Any suggestions on good revision doctors? What is the pro/con of going back to my original provider?

Eric M. Joseph, MD · Answer

Feasibility of revision rhinoplasty surgery largely depends upon what your original nose looked like, and what was done back in 2017. If you did not have an extremely large dorsal hump pre-operatively, profile the projection is feasible. Additionally, if you have chronic nasal obstruction, nasal Airway Improvement may be considered at the time of revision surgery. Consider meeting with several reputable rhinoplasty specialists. When available, we like to review previous operative reports and before and after photos. Thank you for this question, and I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. Lowering of the dorsum and nasal tip deprojection can also be performed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Revision rhinoplasty for ultra thick skin? (Photo)

Answers (2)