Has my nose been made smaller and wider? (Photo)

Question

I had a rhinoplasty in july 24 in turkey. I requested the hump be removed, nose be mde only a little slimmer (as it was really thin in middle - wider a bottom). I specifically asked do not mke upright. My nose 7 months on looks small, thick, wider, piggy. The clinic have now lied and said they told me due to my thick skin tip can not be sharper. They never told me. My nostrils are really tight and asymettrical. I have bumps in nose and bridge is too small.

Eric M. Joseph, MD · Answer

I agree that the lower 1/3 of your nose may appear a bit wider on front view than before surgery. If this is giving you significant aggravation, perhaps an alar plasty to narrow your nostrils may be the path of least resistance since this can be performed with local anesthetic in the office. I hope this helps! Sincerely, Dr. Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos, If you can send your side profile photo in a better light, we can make a more accurate evaluation. But as far as I can see, I recommend you a revision operation, a nose that is more compatible with your face and as you want is possible.
It would be better face to face consultation.
Best regards!

Tyler Okland, MD · Answer

I don't expect the asymmetry or rotation of your tip to change at all, but your nose should become slightly more refined and narrow on frontal view. You have thick skin and it can take up to 18 months on a primary rhinoplasty for thick skin patients for all the swelling to leave the nose.
Your nose could definitely be made sharper, and you don't have to go to Turkey for this. I have a recent 12 day result with maximum definition. Very rarely do patients request maximum definition, but important to know this level of detail is an option available to you.
Hope this is helpful!

Miguel Mota, MD · Answer

Hello and thank you for posting. It’s hard to evaluate with these photos but is seems like your results are good. Please be patient as it has only been seven months and the nose needs at least a year for the swelling to go down and for you to have an idea of your final results. Thick skin does affect the tip definition. In any a case a revision should only be perform after a year or more post-op. There is still time for improvement. I’m pretty sure it will get better.

Best of luck and patience.
Dr. Miguel Mota

Best of luck and patience.
Dr. Miguel Mota

Mats Hagstrom, MD (license on probation) · Answer

Thank you for including before and after pictures.
Rhinoplasty surgery is considered one of the most complex and challenging procedures in plastic surgery.
Personally, I recommend patients be highly selective when choosing providers for this procedure.
Far more so than for other more straightforward operations.
 I generally do not recommend people travel long distances for elective surgical procedures. I also generally always recommend patients have multiple in person consultations before selecting a provider and even considering scheduling surgery.
For rhinoplasty surgery I recommend patients look for plastic surgeons who are in their second or third decade of practice, preferably those who focused their career exclusively on rhinoplasty surgery, or those who have rhinoplasty as a major part of their daily operations.
 The chance of having quality outcome goes down when the procedure is done by general plastic surgeons.
This is a finesse procedure that takes decades to master.
Overall, your outcome is a little overdone and a little overdramatic.
Correcting the outcome is going to be challenging.
The tip of your nose was lifted quite a bit.
This must likely was done with the cephalic trim of your septum. While an upturned nasal tip has a feminine appeal if done excessively, it allows onlookers to look into your nostrils. The “pig”look. 
Revision rhinoplasty surgery is far more complex and difficult than primary rhinoplasty surgery.
The importance of provider selection becomes even greater for secondary procedures.
Some secondary rhinoplasty surgery are more straightforward than others.
The procedure becomes far more difficult if excessive tissue was removed during the first operation.
 if you’re motivated enough to consider revision surgery, then the next step is to find the right provider to help you with that process.
To do that I suggest looking for providers who focus exclusively on rhinoplasty surgery or have a strong emphasis on rhinoplasty surgery in their practice.
Look for providers who have at least 10 to 20 years of rhinoplasty experience.
Schedule exclusively in person consultations whenever possible.
During each consultation Come prepared bringing with you a complete set of proper before and after pictures and a copy of your previous operative report.
Those should be available from your previous provider.
During each consultation, ask each provider to open up their portfolio and show you the entire collection of before, and after pictures of previous patient at the same nasal characteristics.
 For primary procedures, I generally state that an experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
For revision surgery even the most experienced providers aren’t going to have as many pictures for unique revision cases.
Being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures the provider has actually done.
There’s no correct number of consultations needed to find the right provider.
For complex situation I generally recommend patients consider having for five consultations before selecting a provider.
A lot depends on how well you were able to decipher quality providers before making a selection of providers to consult with.
Being board-certified in plastic surgery with years of experience, and overall good reputation does not mean somebody is mastered any one single procedure, especially not complex difficult operations like rhinoplasty surgery.
Ultimately, each surgeon is responsible for the outcome of the procedure and likewise patients are responsible for choosing the provider.
Good luck,
Mats Hagstrom, MD

Has my nose been made smaller and wider? (Photo)

Answers (5)