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My nostrils are different sizes and my nose looks crooked - should I get a revision? (Photo)

nessquickestMay 7, 2024
I am a 35 y/o female, and had a rhinoplasty 8 months ago. When I look back at pictures from when I first had it done, it looks nice. I was still getting used to I being so high, as I had a droopy tip, especially when I smiled, but everything looked good. I’ve recently noticed my right nostril is considerably smaller and my nose looks crooked, especially when you look from the base up. I had a bit of skin cut out to help with the size difference but it still looks crooked to me.

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on May 9, 2024
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Eric M. Joseph, MD

The most common reason for removing a columella strut graft is malposition. In fact, they may be removed and replaced in a more favorable position. These grafts are the size of a match stick and are used to add structural support to somebody's nasal tip during surgery. The feasibility of...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, your tip does appear overrotated and over-projected. This is not likely to drop if a septal extension graft was used during your surgery. If you want to undergo a Revision, you could have extended spreader grafts placed to...

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Mark Baldwin, MBBS

Are you sure that's cartilage? It looks a lot like medpor to me? You need to have a long chat to your surgeon, and find out exactly what was put where in your nose, generally if substantial pieces of structural graft are lost, you can expect both functional and cosmetic problems.

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