Considering a Revision? Are My Expectations Realistic? (photo)

I'm not happy with the results of my rhinoplasty and I'm thinking for a revision. Is it possible to achieve this result with a revision rhinoplasty? And any opinion on how it should be is welcome.

Doctor Answers 7

Charles, you are close to excellence

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We suggest nonsurgical, injection revision rhinoplasty.  Your photos show that the cartilage just above the tip is a little bit high.  Now, surgery could correct that.  On the other hand, you may want to consider a non-surgical revision in which the lower portion of the bridge just above that small rise is filled to the level of the rise, therefore, obliterating its prominence. 

The best way to have confidence that such a non-surgical alternative to revision surgery with grafting is to have the "Kotler Saline Demo."  That is a technique by which sterile saline is injected to mimic the benefit from a permanent filler; it's an excellent way to envision the result and see if the procedure would make you happy.

Robert Kotler, MD, FACS
Facial Plastic Surgeon

Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 90 reviews

Revision rhinoplasty for multiple issues

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  The photo shows a scooped out bony dorsum and a mild poly-beak which can be  a result from multiple issues such as scar tissue, fluid retention and residual cartilage left in the tip or the  lower bridge. Cartilage grafting to the bridge line harvested from the nasal cartilage, and slight trimming of the  poly-beak should be all that's required. Please see the link below for examples of noses similar to  your own where we have built up a low bridge line

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

The high point of the nose should be the tip

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You posted a photo of an "after." this is a mild poly beak. This can be due to a number of things. Too low a dorsum (the upper part of the nose), scar tissue or residual cartilage in the area just above the tip, or a slightly drooping tip. Depending on the cause, the treatment will differ. However, the desired profile posted should be achievable.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Considering a Revision? Are My Expectations Realistic?

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             Provided that you are beyond the one year mark from the previous rhinoplasty, that result can be achieved with a revision.  Kenneth Hughes, MD Los Angeles, CA

Revision Rhinoplasty

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Subtle grafting of your bridge will most likely achieve what you are looking for.  Depending on  what was done surgically the first time, the cartilaginous graft may be obtained from inside your nose.   Make sure you see a board-certified Facial Plastic Surgeon for a consultation.  All the best.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Revision rhinoplasty

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Dear faye03,

  • It does appear that a little too much was removed and this result can be achieved with revision rhinoplasty
  • It would require a little cartilage grafting to get the result you are looking for
  • When you are ready, please see a rhinoplasty specialist who can address all of your concerns

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Revision Rhinoplasty

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From the photos you submitted it appears that you have a small polly-beak deformity, a low radix, and an over-rotated tip.

It appears that you want the polly-beak removed and the radix augmented.

In experienced hands, I believe that it is achievable. 


Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 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.