If several docs turn you down for a 3rd revision is it time to give up? (Photos)

Question

I had a primary septi/rhino in Dec 2018 and a revision in July 2020. I wish I never touched it. My aesthetic lines are horrible and it looks more bulbous and asymmetrical than ever. I just want to be done obsessing with it. Several doctors have told me “it’s not a train wreck” and to just leave things alone. But I can’t stand it. Do I keep pursuing?

Steven M. Denenberg, MD · Answer

Indeed, the tip looks a bit wide to me, and not all that dissimilar to the photos you posted here before your primary. That tends to suggest that not enough was done to narrow your tip, and perhaps more can be done. Everything gets harder after two rhinoplasties. I'm wondering why you're in this position. Do you think you did an excellent job in selecting your surgeon?

It would be nice to get other views of your nose, like both profiles and more 3/4 views. If your nose is long, too, with the tip pointing more down than you like, that could be addressed at the same time. I probably don't have to tell you that a third-time rhinoplasty requires a true expert in revision, and you must be careful in selecting your surgeon.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin nasal skin, a summer crooked nasal appearance, and a wide tip. Feasibility of performing revision rhinoplasty surgery would require a physical examination, and it may be helpful to review your previous operative reports as well. Depending on your examination, it's possible that revision may be feasible. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to address the asymmetry in your mid nasal vault and tip asymmetry. Fascial grafts in addition to structural grafts may be very helpful here to achieve a smooth result. I recommend that you seek consultation with a qualified board-certified plastic 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

Stephen Prendiville, MD · Answer

It's very difficult to give an answer to your question without more detail.  Revision surgery is more complicated by nature.  There may or may not be good anatomic and/or motivation related reasons for your Surgeons' hesitations, but only a consultation can answer that question.

If several docs turn you down for a 3rd revision is it time to give up? (Photos)

Answers (4)

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