Revision septorhinoplasty? (photo)
Doctor Answers 6
Tertiary Septorhinoplasty ??
Your nose shape concerns are understandable but a more detailed rhinoplasty history is needed. This would include original pictures and pictures after the first and second procedure as well as the operative notes from the surgeries. Without this information, it would be impossible to answer where any further procedures would offer a predictable improvement.
Revision rhinoplasty has various things to consider
I would certainly recommend you discuss your concerns with your (revision) rhinoplasty surgeon, and don't hesitate to get a second opinion from another experienced rhinoplasty expert. I presume since you mentioned some septal work, there must have been a functional component to your surgery. Here are a few things for you to do and think about before your appointment(s):
1. Gather all photographs (before any surgery, and after both surgeries) and operative notes from your respective surgeons
2. How long has it been since your revision surgery? After a revision rhinoplasty, edema (swelling) can take much longer to go down. If it has been <1 year, you will be best off to wait before you consider any additional surgery.
3. How well are you breathing through your nose? If there is a problem, is it one one side or both? Does anything make the breathing better or worse?
4. What exactly do you not like about your current nose? The previous pictures will be helpful here...your comment about "the oblique on one side" is a little vague. The more clearly you can communicate what you want to change about your nose, the easier it will be for your surgeon to ascertain the best plan for you.
Best wishes, MKB
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Preoperative photos would give a good idea of what can be done to improve your nose. Tip asymmetry and tip droop can likely be improved.
Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Without a good history and physical examination, it is virtually impossible to give you sound advice. It is not good practice to judge the result when not involved in the preoperative discussion. What did you feel was the problem? What was said to correct the problem?
Consult your surgeon and if necessary, seek a second opinion.