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Can a revision rhinoplasty help restore my natural nose?

Bright407098Dec 14, 2021
I had a septorhinoplasty and I’m unhappy with the cosmetic portion of my procedure. I had a dorsal hump that I wanted very slightly reduced. I wanted a very subtle change but feel that too much cartilage was removed. I don’t like the scooped bridge and pointy nasal tip. From the front view there is too much nostril show and the nasal tip is too high. I also don’t like that my columella was refined and tucked in. Can my natural nose be restored with revision rhinoplasty?

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From board-certified doctors and trusted medical professionals
Dr. Andrew Kornstein, MD, FACS
Board Certified Plastic Surgeon
Answered on Dec 15, 2021
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Andrew Kornstein, MD, FACS

What you describe is most commonly related to skin excess, poor skin contracture, lack of architectural structure(bone/cartilage/grafts). Based on your examination, I would suggest either Ultherapy to shrink your nasal skin or a rhinoplasty revision to add structure/definition to your nose. Let...

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Andrew Kornstein, MD, FACS

The included photographs are only front views(no profile) however based on your history, it is like that your cartilaginous dorsum(bridge) was dislocated from the bony dorsum(bridge) with the punch. This created a depression where the cartilage bridge meets your nasal bone(as well as deviation...

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Oakley Smith, MD, FRCSC

Thank you for your question. Ultrasonic rhinoplasty refers to the way in which the bone is cut - using an ultrasonic cutting device instead of an osteotome. It should not affect the way a profile looks and is unlikely to be the reason for your result. I recommend having a discussion with your...

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