Was Left with a Deviated Tip After Original Rhynoplasty, What Revision Options do I Have? (photo)

I have done a rhynoplasty 4 years ago and I was not happy because I ended up with a deviated tip so I went back to the same doctor and did a revision rhynoplasty a year after . Now after 3 years i am still not happy with the tip. I've consulted another doctor but he said this is how my nose is built and there is not much that can be done to correct it. What do you recomend?

Doctor Answers 4

Deviated Tip after Rhinoplasty Revision

No one can really answer your question without seeing your nose from a number of views and hopefully reviewing what the prior surgeon actually did to the nose. Usually these kinds of problems can be improved but the technique involved would depend on what was done before and which specific anatomical portions of the nose are deviated. Best of Luck  Dr Harrell

Miami Plastic Surgeon
4.9 out of 5 stars 49 reviews

Deviated Tip after Rhinoplasty

It is difficult to answer your question with one picture where your tip is distorted because you are smiling. It appears that the cartilages of your tip are asymmetrical because of  differences in size, contour, and position. Another cause of a crooked tip is deviation of the septum. All of these problems can be corrected, but find a surgeon who specializes in revision rhinoplasty. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Crooked tip

It's difficult to say for sure with this limited photo. Some faces are so asymmetric that you can never get the tip completely straight relative to the face. Having said that most noses can be made a lot better if the underlying septal and tip cartilages are corrected. You need to see a surgeon with experience at deviated noses.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Getting the tip of your nose straighter after two prior surgeries is difficult but can be done

Crooked nasal tips can be often straightened during revision rhinoplasty. It may be impossible to get the tip perfectly straight but we can often make it much better. The most common culprit is the end of the septum. The area called the septal angle, if crooked, will throw off the entire tip of the nose. Since a third operation increases the complexity, you should seek out a specialist in revision rhinoplasty.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.