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Should I get a revision rhinoplasty to center my nose as well as further refine the tip and narrow the bridge? (Photos)

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Optimistic7896Dec 6, 2025
Hi, So I had a rhinoplasty approximately 4 years ago which included a septoplasty to fix my deviated septum and tip work to repair my broken nose. I hadn't liked my nose my entire life beginning at age 16, even before the broken nose but that made me even more self conscious due to it now having damaged tip cartilage and crooked tip. I then got alarplasty 1.5 years ago to attempt to address my nostrils which I didn't like how much they flared in hopes that would make that better. After the surgery I still felt that the tip of my nose was still slightly off center as well as not as defined at the tip as much as I had wanted. MY QUESTION IS based on the photos of what has already been done, could and should I have revision to center my nose as well as further refine the tip and narrow the bridge?

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Dr. Thomas Trevisani, MD
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Answered on Dec 11, 2025
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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
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Answered on Dec 9, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. T...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for revision rhinoplasty. Maneuvers for your surgery would include nasal tip deprojection, placement of a mastoid fascia tip graft , among other maneuvers. With good surgical technique, you could have an...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you have significant nostril asymmetry. This will be best treated with a revision. Maneuvers for your surgery would include re-tensioning of the tip, placement of extended alar contour grafts , among other maneuvers. With good...

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Andrew Miller, MD

Based on your photos, you are a good candidate for revision rhinoplasty. Often times during a closed rhinoplasty, it can be hard to get the tip cartilages exactly symmetical. For a revision, the nose would have to be opened, and possibly some cartilage grafts used to straighten the tip and bring...

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Jaime Caloca, Jr., MD

Hello, I have seen septal extension grafts (especially silicone ones) that can literally cause a hole in your nasal skin and expose them. Due to the symptoms that you are experiencing, I do recommend removal. How your nose will look and if you would need a septal graft (from your own septum) or...

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