De rotate and lengthen? (Phtoo)

Question

I am 4 months post op and I’m not satisfied with my results. My natural nose was longer on the front view. Now my nose feels very short and lifted from the front. Looks almost cut off? I don’t mind the side profile but I don’t like how much nostril show I have in the front and how the tip is well above the base of my nostrils now. Can I de rotate to help this? Thoughts? I feel I will want a revision once I am one year to address these issues

Lexie Wang, MD · Answer

Strongly recommend you wait. I don't really see anything wrong with this nose -- this is very classically what patients are looking for in a rhinoplasty. What I sense is that you are having a hard time adjusting to how it looks on your face because this is different from what you're used to seeing. You do not have a lot of nostril show. This is a normal amount. The tip should be above the base of the nostrils.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. An over rotated tip can be derotated by releasing scar tissue and placing extended spreader graphs. I don’t think I would recommend this for your situation. You have more alar retraction, which would be better treated with extended alar contour grafts. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

De rotate and lengthen? (Phtoo)

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De rotate and lengthen? (Phtoo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

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