Right nasal bone sticking out, left side of my nose collapsing, crooked nose 3 months post op. I don't know what to do (Photo)

Based on the photograph it appears that the right nasal bone has an incomplete osteotomy.A completion osteotomy on the right side with an in fracture will make it symmetrical the left side.  You certainly need  revision surgery.RegardsDr. J

Your nose does appear to be deviated in the photographs. There are surgical ways to correct this sort of deformity but the photographs were taken early in your post-operative course. Things may change as your swelling subsides over the next couple of months.  If the "crooked" appearance of your nose does not improve over time, you will most likely require a revision surgery to correct the asymmetry and deviation of the nose.

At 3 months post-op from rhinoplasty, it is a bit early to consider any type of revision. Often one should wait a year or sometimes longer for the soft tissues to become pliable enough.

Thanks for sharing your concerns and photos regarding your appearance 3 months after your primary rhinoplasty. I am sorry to hear that your surgery did not go as planned and you are now faced with concerns about what to do next. It is often difficult and emotional for patients to want to consider another procedure. Understandably, you are unhappy, but try to remain positive and continue on with your education. I agree that you can look better, but I do not share your assessment that you look horrible. I am sure that your friends and family would agree. In my opinion, you should consider a revision at some point. Your photos seem to show a C-shaped nasal deformity in the front view with collapse of the left upper lateral cartilage. This may also be contributing to your the asymmetry to the nostrils and tip cartilages. Your lower lateral cartilages and tip may need support as well. Full photos and a complete history and physical will surely help your doctor determine what may be needed for improvement. Fortunately, should these problems persist or fail to improve over time, there are excellent options for corrections via a secondary (revision) rhinoplasty with cartilage grafts. I would seek out a consultation with an experienced surgeon who specializes in the nose and in rhinoplasty revisions. You should have a complete exam with imaging studies. Given your history of a complication, it may be beneficial to request a copy of your original operative reports, photos and schematics of your first surgery. Please consider sharing this information with whomever you choose to evaluate your nose for possible correction, as this can be most helpful in planning for your next surgery. In my practice, I usually recommend waiting at least 6 month to a year before proceeding with a revision rhinoplasty. I hope this answer helps you. 

Dear alli104,

Thank you for your clinical post and
photographs. I’m sorry to hear of the
apparent complication in your surgery.
From the photograph it does appear that the left nasal sidewall has
collapsed giving a jetting out appearance of the right side and there appears
to be a deviation of the nasal tip possibly to uncovering a curvature on the
underlying septum. The nostrils appear
also slightly asymmetrical.

At this point in time, I would visit
the operative plastic surgeon or rhinoplasty surgeon to seek advice some
correction of your concern. Generally,
revision surgery should not be entertained for 9-12 months, but in the interim
I found that soft tissue fillers injected in the bridge can improve the
appearance of the collapse in the crooked nose and allow you to take focus off
the nose while it undergoes a necessary healing prior to deciding if any
revision rhinoplasty is required.

I hope this information is of some
assistance and best of luck.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

I understand your concerns but right now there is nothing you can do except be patient. Wait another 6 months before making any decisions about a revision which will probably be necessary to achieve  your pre-op goals. You can talk to your surgeon or a revision specialist.