Do I Have Realistic Expectations For Revision Augmentation Rhinoplasty?

I had augmentation rhinoplasty on my nose in general. Its been 7 months post opp, My PS has agreed to perform the revision.He's going to use an ear cartledge graft, is this a good choice? Also is it possible to raise the dorsum and increase the width of my bridge and tip ( one nostral is a little larger than the other) with rhinoplasty? I feel I want a more masculine nose astheticaly? Are these realsitic expectaions? Thankyou

Doctor Answers 8

Do I Have Realistic Expectations For Revision Augmentation Rhinoplasty?

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Without seeing photos, of your nose and examples of what you're hoping to achieve with the Revision Rhinoplasty, honestly there's just no way to tell.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews


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Without a photo it is impossible to comment on the specifics of your case. Your expectation may be reasonable or totally unacceptable.

Dorsal Augmentation

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Depending on how much augmentation is needed, cartilage may not be enough or have the right shape. You may want to consider a custom carved silicone implant to achieve appropriate dorsal height and width. You may also want to seek a second opinion if your surgeon didn't get it right the first time.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Proper technique for revision rhinoplasty

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Revision rhinoplasty is among the most challenging of all plastic surgery operations.  The best person to perform this, unless there are compelling reasons to the contrary, is the original operating surgeon.

Ear cartilage, septal cartilage, and rib are all acceptable grafting materials.

Expectations for revision rhinoplasty with ear cartilage

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Ear cartilage can be a very good choice if additional cartilage is needed for augmenting your nose and there isn't enough septal cartilage left to remove. Without seeing your nose it's hard to comment in much more depth, though.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Rhinoplasty revision

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Gee, it is really difficult to answer this without more information.  If you need slightly more dorsal height, then an ear cartilage may do the trick. If you need several millimeters of heightt than rib cartilage may be a better choice.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Realistic goals for augmentation rhinoplasty?

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The best way for you to answer this for yourself is to have a consult with your surgeon with computer imaging. this way you can see what the effect of different amounts of augmentation will have on your appearance. Once you decide on what you like and what will meet your expectation, then you and your surgeon can decide on the best way to get there i.e. ear or rib or septal cartilage or fascia grafts.

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

Realistic Expectations for Revision Augmentation Rhinoplasty

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Without pictures I will tell you that your goals and the technique using cartilage grafts you describe are reasonable when you have the surgery performed by an experienced revision rhinoplasty surgeon. An augmentation rhinoplasty is beneficial if your nose is done so it is proportional to the surrounding facial features. Make sure you clearly understand and agree with the proposed changes.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 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.