Unevenness everywhere. What are my options? (Photo)

Question

Had a secondary rhinoplasty & nose is quite distorted. My list of concerns: 1. Nostrils skewed due to twisted columella? 2. Notch on left nostril - looks like MJ

Nima Shemirani, MD · Answer

Hi @Creative72290. I'm sorry you are dealing will this. I recommend an in-person consultation with a revision rhinoplasty expert.

Best of luck,

Dr. Nima

Randal Haworth, MD, FACS · Answer

It is not uncommon for patients to experience some degree of swelling, bruising, and distortion after rhinoplasty surgery, especially after a secondary procedure. However, if you have concerns about specific issues with the appearance of your nose, it is important to bring them up with your surgeon.

Regarding your concerns about the nostrils, a twisted columella can certainly contribute to nostril asymmetry and skewing. This may be corrected through revision surgery, depending on the extent of the issue and the overall goals for your nose. It is important to discuss your concerns and expectations with your surgeon and determine the best course of action.

A notch on the left nostril, as you describe, can be caused by a variety of factors such as an irregularity in the underlying cartilage or scar tissue formation. Again, this may be improved through revision surgery, depending on the specifics of your individual case.

In general, revision rhinoplasty is a complex procedure that requires a high level of skill and experience from the surgeon. It is important to choose a qualified and experienced surgeon who can address your specific concerns and help you achieve your desired outcome. It is also important to have realistic expectations for the outcome of the procedure, as revisions can be challenging and may not always result in complete correction of all issues.

I hope this helps,
best of luck !

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