I had a bad rhinoplasty 20 years ago that left me with a twisted nose, a polly beak deformity, and dents. I had a revision about 18 months later, which you see here. While it is a vast improvement over the first surgery, I am still unhappy with the way my nose looks. The surgeon who did the revision is no longer in practice. I am considering booking some consultations with revision specialists, but I was wondering if my issues as pictured are even fixable? I have thick skin. Thanks for input!
Answer: Is revision rhinoplasty an option after 20 years?
Yes, you can still consider a revision rhinoplasty after 20 years. There are liimits based on your thick skin but you do have areas that can be addressed with surgery.
From looking at your photos I can see that your tip is under-projected which has led to a less defined tip. Reprojecting your tip into your relatively thick skin would help refine its appearance and actually make it appear smaller. Your bridge could also be augmented to strengthen your profile. Cartilage grafts would be needed for these manuevers. If you don't have adequate septal cartilage then ear or rib cartilage may be needed.
Visit with a few revision rhinoplasty specialists to get a complete assessment and to discuss your options further.
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CONTACT NOW Answer: Is revision rhinoplasty an option after 20 years?
Yes, you can still consider a revision rhinoplasty after 20 years. There are liimits based on your thick skin but you do have areas that can be addressed with surgery.
From looking at your photos I can see that your tip is under-projected which has led to a less defined tip. Reprojecting your tip into your relatively thick skin would help refine its appearance and actually make it appear smaller. Your bridge could also be augmented to strengthen your profile. Cartilage grafts would be needed for these manuevers. If you don't have adequate septal cartilage then ear or rib cartilage may be needed.
Visit with a few revision rhinoplasty specialists to get a complete assessment and to discuss your options further.
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CONTACT NOW August 3, 2011
Answer: Revision Rhinoplasty may be reserved as a last-resort treatment.
I read your question and reviewed your photos:
It's not clear from your concerns exactly what you would like to achieve with your nose. You don't have a "terrible" nose, and your thick skin makes it difficult to tell you've had previous rhinoplasty surgery.
You should consult several revision rhinoplasty experts to determine what you could achieve with further surgery.
Regards from NJ.
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CONTACT NOW August 3, 2011
Answer: Revision Rhinoplasty may be reserved as a last-resort treatment.
I read your question and reviewed your photos:
It's not clear from your concerns exactly what you would like to achieve with your nose. You don't have a "terrible" nose, and your thick skin makes it difficult to tell you've had previous rhinoplasty surgery.
You should consult several revision rhinoplasty experts to determine what you could achieve with further surgery.
Regards from NJ.
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January 18, 2015
Answer: Secondary Rhinoplasty After 20 Years, Are My Issues Fixable?
Dear Sadhonker: Your nose can always be improved. It is important to realize that with a triple revision surgery that the goal is modest improvement and that perfection is an impossibility. But you should feel comfortable that you can always seek improvement. Often with the type of issues you are concerned about, they stem from over resection of the dorsum and lack of tip support. To my eye the best options for improvement would be to prepare yourself for grafting from either the septum or rib if septal cartilage does not exist. Based on your photos I would recommend further tip grafting to create more tip projection and some degree of dorsal augmentation to prevent the reoccurence of polly beak deformity. I also see a slight persistent widening of the bridge of the nose where lateral osteotomies would help. So in short... project the tip slightly with refinement and narrowing of the tip laterally, dorsal augmentation to prevent polly beak and allow slight lengthening of the nose to appear more elegant and subtle osteotomy to narrow the width. Hope that helps! Dr. Shep
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CONTACT NOW January 18, 2015
Answer: Secondary Rhinoplasty After 20 Years, Are My Issues Fixable?
Dear Sadhonker: Your nose can always be improved. It is important to realize that with a triple revision surgery that the goal is modest improvement and that perfection is an impossibility. But you should feel comfortable that you can always seek improvement. Often with the type of issues you are concerned about, they stem from over resection of the dorsum and lack of tip support. To my eye the best options for improvement would be to prepare yourself for grafting from either the septum or rib if septal cartilage does not exist. Based on your photos I would recommend further tip grafting to create more tip projection and some degree of dorsal augmentation to prevent the reoccurence of polly beak deformity. I also see a slight persistent widening of the bridge of the nose where lateral osteotomies would help. So in short... project the tip slightly with refinement and narrowing of the tip laterally, dorsal augmentation to prevent polly beak and allow slight lengthening of the nose to appear more elegant and subtle osteotomy to narrow the width. Hope that helps! Dr. Shep
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August 5, 2011
Answer: Revision Rhinoplasty
The best thing is to have a personalized consultation (would be better in person) so that the nose can be properly evaluated. At this point, the most important issues are 1) getting a result that satisfied your aesthetic desires and 2) ensuring that you will still be able to breathe after your revision. The skin is something we all take into consideration with any rhinoplasty patient.
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August 5, 2011
Answer: Revision Rhinoplasty
The best thing is to have a personalized consultation (would be better in person) so that the nose can be properly evaluated. At this point, the most important issues are 1) getting a result that satisfied your aesthetic desires and 2) ensuring that you will still be able to breathe after your revision. The skin is something we all take into consideration with any rhinoplasty patient.
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August 9, 2018
Answer: 20 years after revision rhinoplasty
You have an attractive natural appearing nose now. Could you improve its looks with another revision? Yes, you could increase the height of the bridge and give the tip some more refinement with cartilage grafts.Getting good revision rhinoplasty results often requires the skill of a surgeon with many years experience with revisions. Be sure to see many before and after pictures of cases similar to yours.
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August 9, 2018
Answer: 20 years after revision rhinoplasty
You have an attractive natural appearing nose now. Could you improve its looks with another revision? Yes, you could increase the height of the bridge and give the tip some more refinement with cartilage grafts.Getting good revision rhinoplasty results often requires the skill of a surgeon with many years experience with revisions. Be sure to see many before and after pictures of cases similar to yours.
Helpful 1 person found this helpful