Would I benefit from a third rhinoplasty? (Photo)

Question

I got a tip plasty 4 years ago and the swelling was hell. No interventions and the (top nyc) doctor said it was because of spongy skin that the results were less than ideal. Finding it had to trust anyone after this experience. Should I try to fix this? Very bulbous and misshapen.

Eric M. Joseph, MD · Answer

In general, it is difficult to evaluate somebody with a single up close photograph of their nose. Since you have had two nasal surgeries, it may be best to avoid further surgery which would be exponentially more difficult than the first. Wishing you well moving forward. Sincerely, Dr Joseph

Ali Sajjadian, MD, FACS · Answer

Thanks PoinsettaTea for your question! It is understandable that you're unhappy with the way your prior rhinoplasties turned done, particularly given that you had severe edema and less-than-ideal results. A malformed and bulbous tip can seriously affect anyone’s confidence.
It may be possible to enhance the form and look of your nose tip with a third rhinoplasty, often known as a revision rhinoplasty. Careful examination is required to get a more visually acceptable outcome, a qualified surgeon can refine the skin and cartilage. But it's crucial to take into account the following elements:   
Tissue Scars: Scar tissue buildup from prior surgeries may make the process more difficult in the future.   
Skin Quality: Thicker skin can sometimes mask subtle refinements, so it's essential to discuss your expectations with your surgeon.
Consulting with a board-certified plastic surgeon is essential to deciding whether a third rhinoplasty is the best procedure for you. In addition to understanding your objectives and intended result, they can evaluate your nasal anatomy. They can aid in your comprehension of potential obstacles and what can be accomplished.
Recall that a favorable result depends on selecting the appropriate surgeon. Choose a surgeon who has a solid track record of patient satisfaction and a lot of expertise performing revision rhinoplasty.
Skin Quality: Thicker skin can sometimes mask subtle refinements, so it's essential to discuss your expectations with your surgeon.
Consulting with a Board-Certified Plastic Surgeon is essential to deciding whether a third rhinoplasty is the best procedure for you. In addition to understanding your objectives and intended result, they can evaluate your nasal anatomy. They can educate you with specific drawing the anatomy of nose and share with you the advantages and disadvantages of different approaches.
As probably you know, a favorable result depends on selecting the appropriate surgeon. Choose a surgeon who has a solid track record of patient satisfaction and a lot of expertise performing revision rhinoplasty.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philospphy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian 
TRIPLE Board Certified Plastic Surgeon

Steven M. Denenberg, MD · Answer

There are elements to the photo that indicate that you do indeed have thicker than average skin. Having said that, though, whether a revision can narrow your tip depends on how much tip cartilage is left, what its strength and shape and position are, and how much of the width of your tip is the cartilage vs the thick skin. For example, if the cartilages are strong and broad and controlling the tip width, then a revision very well might help. But if the cartilages are thin and weak, and all of the tip width is your skin, then you're probably done. If I had to guess, based on this photo, I'd say that more can be done. But as I said, I or anyone else would have to feel your nose first.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. 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

Would I benefit from a third rhinoplasty? (Photo)

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Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Would I benefit from a third rhinoplasty? (Photo)

Answers (4)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.