Crooked, asymmetrical, ugly tip: what to ask for when I consult with a doctor about nose? (photos)

Question

Please help me know what to ask for when I consult with a doctor about my nose. I broke it and had a minimally invasive surgery at 9 years old. Then I had a rhinoplasty at 19 (18 years ago). Since then I believe I have suffered another break thanks to getting a weenie dog head straight to the nose.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Ronald J. Edelson, MD · Answer

The main problem with your nose is that it was left too long with a hanging columella. This is simple to correct. I also think your tip needs to be thinned out and refined . You may have too much cartilage in the tip which needs to be reduced.

Robert Ciardullo, MD · Answer

What to ask you a plastic surgeon? Your plastic surgeon will know when he looks at you what’s wrong with your nose aesthetically. You shouldn’t have to point it out to him. In addition to the asymmetry of the tip you might have a deviated septum making the nose look crooked and making the base tilt. He will evaluate the septum as well as the cosmetic aspects of your nose during the consultation.

William Portuese, MD · Answer

Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, therefore choose your surgeon very wisely based on extensive experience. You have a concave upper lateral cartilage which is going to require a spreader graft and you also have a hanging columella. Important to know how much cartilage is left over on inside the nose for grafting purposes.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note that the lower third of the nose is displaced from midline. There is significant angled columellar displacement. There is a hanging columella associated with nasal tip droop. The nasal tip is blunted.
You appear to be a candidate for a tip rhinoplasty and septoplasty to include septal straightening, correction of the hanging columella and tip droop, and partial nasal tip cartilage resection to add tip definition. Be sure to mention your previous nasal trauma and surgeries to your surgeon.
Best wishes...

Crooked, asymmetrical, ugly tip: what to ask for when I consult with a doctor about nose? (photos)

Answers (5)

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