Revision rhinoplasty did not fix my crooked columella. Do I need a third procedure? (Photo)

Based on your photos, your columella appears to be straight. I believe the issue has to do with your left nostril being flat and retracted, both of the base view and on front view. It's conceivable that adding microdroplet Silikon 1000 to the upside down V of the narrowed nostril may improve your nostril symmetry without further surgery. The feasibility of this is dependent upon your examination. I hope this helps and I wish you were moving forward. Sincerely, Dr. Joseph

Hello and thank you for your question. Based on your photographs, you may benefit from a Revision in order to help improve the symmetry of your nostrils. There are many techniques to help achieve this including placement of extended alar contour grafts, tip stabilization, tensioning the tip, among other maneuvers. . With good surgical technique, you could have an outstanding result. 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