Revision rhinoplasty - can anything be done without breaking my nose again? (Photo)

Question

Hello . It’s gonna be two years on June 1 since I had my rhinoplasty. I used to have a hump and I just wanted to have a straight nose but I feel that too much of the bridge of my nose was removed and my tip was up turned too much. I am pretty happy with the side view of my nose but now looking at the front I feel that my nose looks wider and my tip is also wider, and I feel like it needs to be thinned out and more refined. Can anything be done without breaking my nose again?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision in order to de-rotate and refine your nasal tip. This can be accomplished by releasing the scar tissue and then placing extended spreader grafts to de-rotate the entire tip with less nostril exposure. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

Revision rhinoplasty is more difficult than a primary rhinoplasty, so a full set of facial photographs from all angles are going to be required to make a decision about how best to proceed. A copy of the operative report would also also be helpful to understand what was accomplished in the first procedure and it's very important to know how much cartilage is left over for grafting purposes. You have an inverted upper lateral cartilage and a wide nasal bone on your left side which is evident only from the front view. An Osteomy placed the nasal bone and a spreader graft will be required to improve those issues

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