Can I get a revision for over rotation at 9-10 mos post-op?

Question

Can I get a rhino revision at 9-10 months post op due to over rotation? I’d like to de rotate and re lengthen

Steven M. Denenberg, MD · Answer

Everything about the appearance of the nose is related to everything else. For example, with an "over-rotation," sometimes it's not the angle of the tip that's the problem, but that the tip of the nose was left too projecting -- extending too far forward away from the face. On any nose, even a primary, when you bring the tip of the nose back closer to the face, it makes the nose *look* longer, as if the tip had dropped. So if the tip looks too high, but the tip sticks out too far, then lowering the tip will make the nose look huge and much worse. In a nose like that, if the tip is brought back closer to the face and the tip is left at the same angle, it will look great. See?
Of course, maybe your nose isn't in that situation at all. But someone needs to address it.

If you're not sure what exactly is going on, morphs can help figure it out. Morphs could also help you identify better just what's bothering you, and help you set a goal for the revision that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that revision rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
It also discusses how to tell whether your first surgeon should be performing your revision.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Depending on your individual anatomy, that timeline may be OK for this type of revision. In order to de-rotate the tip, the scar tissue must be released and Extended spreader grafts should be placed. 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

Jeffrey H. Spiegel, MD · Answer

Yes - we do that by using cartilage grafts to extend the nose back down.  This is a common procedure in my office.

Can I get a revision for over rotation at 9-10 mos post-op?

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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.

Can I get a revision for over rotation at 9-10 mos post-op?

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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.