Is this a chance to get this stub on nose straight with a more defined feminine nasal tip? (Photo)
Doctor Answers 5
Poorly Defined Deviated/Asymmetrical Tip
Nasal tip definition
Best of luck
Tip definition in revision rhinoplasty
Sorry to hear that you have not had a satisfying result from your previous rhinoplasties. As you have noted, your nose does appear to still be crooked and undefined in the photos. There is no reason to lose hope, though. In the hands of an experienced revision rhinoplasty specialist, there are techniques available to create a more structured and symmetric look to your tip. You should visit with a revision specialist in person so that he or she can examine your nose to assess your remaining cartilage support, skin thickness, presence of scar tissue, and other factors that will help determine the techniques necessary to achieve your desired result. You can also have computer imaging done to give you an honest and realistic sense of what is possible to hopefully make this your last revision. All the best in your search.
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Revision rhinoplasty with a crooked middle third.
I do think that this is an appropriate time to consider revision work.
I would recommend you acquire all of your medical surgical reports from your previous physicians as well as post operative notes if steroid injections were utilized. Before and after photos are always nice but are really unnecessary.
We really would have to physically examine your nose for any real helpful information. However, your photos would suggest that tip refinement is possible and likely to be helpful. We need to discuss your skin type to make any real judgements.
The middle third continues to appear shifted. Standard photos might be a little more helpful. Regardless I have to say that the middle third is a tricky area that really needs significant attention to achieve a balanced result. I would guess you might require a supportive graft based on the position of the septum currently.
One challenge you may face is availability for cartilage with your past surgeries. Operative notes may shed some light on this.
Your best bet is to find a physician specializing in revision rhinoplasty that can meet you and give you some solid advice.