I had a bump and my tip drooped a bit when I smiled. He raised the tip way too high and now I'm more insecure about my nose then before. I don't know if I can wait a whole year to get a revision. I understand it's still healing but it is absolutely impossible for the tip to go down as much as I want it to on it's own. I don't know what to do but I'm not happy. I look nothing like myself. On top of everything the nose isn't even straight.
February 24, 2016
Answer: Early but classic Your result is classic for a closed rhinoplasty with an overdone dorsal resection, possibly a cephalic trim of the lower lateral cartilages and likely in-fracture....At a minimum, your revision will require multiple structural grafts including bilateral spreader grafts to restore your dorsum and dorsal lines and a columellar strut graft for control of tip rotation/projection...1 month post op is too early to operate but certainly not too early to begin vetting your potential solutions...6-12 months is more appropriate depending upon several individual factorsModern, nondestructive, anatomical rhinoplasty techniques are more sophisticated than they were 20 years ago. In the minds of most true rhinoplasty experts today, beyond appropriate training/credentials, these characteristics are tantamount to achieving consistently excellent rhinoplasty/revision rhinoplasty results:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. practice focused on rhinoplasty 4. willingness to do difficult, secondary and reconstructive cases5. interest in teaching others how to evaluate and do rhinoplasty properly6. willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsgood luck
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February 24, 2016
Answer: Early but classic Your result is classic for a closed rhinoplasty with an overdone dorsal resection, possibly a cephalic trim of the lower lateral cartilages and likely in-fracture....At a minimum, your revision will require multiple structural grafts including bilateral spreader grafts to restore your dorsum and dorsal lines and a columellar strut graft for control of tip rotation/projection...1 month post op is too early to operate but certainly not too early to begin vetting your potential solutions...6-12 months is more appropriate depending upon several individual factorsModern, nondestructive, anatomical rhinoplasty techniques are more sophisticated than they were 20 years ago. In the minds of most true rhinoplasty experts today, beyond appropriate training/credentials, these characteristics are tantamount to achieving consistently excellent rhinoplasty/revision rhinoplasty results:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. practice focused on rhinoplasty 4. willingness to do difficult, secondary and reconstructive cases5. interest in teaching others how to evaluate and do rhinoplasty properly6. willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsgood luck
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February 24, 2016
Answer: Revision Rhinoplasty Hi,Although you are very early post-op, your tip looks over-rotatated. You should address this with your surgeon and seek a second opinion. Revisions surgeries can be performed when a surgeon believes enough swelling has resolved or there is an obvious abnormality. Typically this takes 8 to 12 months.Best,Dr.S.
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February 24, 2016
Answer: Revision Rhinoplasty Hi,Although you are very early post-op, your tip looks over-rotatated. You should address this with your surgeon and seek a second opinion. Revisions surgeries can be performed when a surgeon believes enough swelling has resolved or there is an obvious abnormality. Typically this takes 8 to 12 months.Best,Dr.S.
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