Help! Rhinoplasty & crooked tip afterwards, options besides full revision? (Photos)

Question

I had open rhinoplasty 9 months ago. Cartilage was taken from septum to support the tip. Tip is crooked now, and one nostril is higher than the other. My surgeon put some filler in the left nostril to bring it down at 6 weeks Post-Op. He now says that the residual asymmetry is just how my nose was before and there is nothing else he can do. Am I crazy? Are there options to fix some of this besides another full rhinoplasty? And if not, is this fixable with a closed rhinoplasty? Thank You!!!

John Michael Thomassen, MD · Answer

A revision rhinoplasty with an open approach is probably the best option since it gives a clearer view as to what is causing the asymmetry.  You may need more cartilage grafting to help correct the lower lateral cartilage asymmetry, either from the ear or septum.

Jeffrey Lisiecki, MD · Answer

I know it's probably not what you want to hear, but a full revision rhinoplasty is what is needed to straighten your nose.  Truly straightening a crooked nose is a fairly challenging problem, even more so in revision cases.  Typically, I recommend waiting until you are a year out from your primary rhinoplasty to evaluate and make a plan when the swelling has completely resolved from the prior operation, and to allow scar tissue to soften up somewhat.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. I’m sorry that you’re unhappy with your initial rhinoplasty results. It is best to wait a full year before considering a revision, though dermal fillers can help to temporarily alter your nose’s appearance. Once a few more months have passed, you will likely require revision rhinoplasty surgery to straighten your nasal tip and make your nostrils more narrow and symmetrical.

Please note that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, evaluate your concerns, and determine the best approach to help you achieve your aesthetic goals.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos you provided. You have a strong deviation (not only the tip). Your nostrils look uneven.Filler can help but for only a few weeks/months, and anyway I do not recommend filler on the nose at all, there are too many risks.The only option to correct the deviation is a revision open rhinoplasty.With close rhinoplasty it is not possible to correct it.
Best regards!Prof. Dr. Selcuk Inanli

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about your concerns following your open rhinoplasty procedure. It's understandable that you are seeking further clarification and potential solutions for the issues you've described. Based on the pictures you provided, it seems that a closed rhinoplasty would be necessary.

I hope this helps,
Best of luck !

Help! Rhinoplasty & crooked tip afterwards, options besides full revision? (Photos)

Answers (5)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Help! Rhinoplasty & crooked tip afterwards, options besides full revision? (Photos)

Answers (5)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.