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Are my goals to reduce the size of my nose unrealistic? (photos)

charforsureDec 29, 2021
Hello Realself! I recently had a consultation with a surgeon for my revision rhinoplasty and he says, "The tough thing about revision rhinoplasty: we can make it a little smaller, but it's not a huge change. Your nose is not going to go from its current shape to something completely different and small." I am very discouraged by this since I think my nose is still SO big and doesn't suit my tiny face. I see revisions online all the time that seem like such a large change. What can I do?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Jan 4, 2022
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Lexie Wang, MD

That very much depends on what was exactly done to make the tip "smaller" how easy it is to "fix" that. Generally, most patients like smaller tips so I assume that's what your surgeon thought you wanted and gave you that. You can discuss with them to see if this is something that can easily be...

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Sang Hoon Park, PhD, MD

Hello, If you feel your nose tip is large and droopy, revision tip-plasty can help you. However, I would like to point out 2 things (limitation). You have metioned that your tip is off center but there is a chance it is positioned correctly considering the center of the philtrum and upper lip....

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Thomas A. Mustoe, MD, FACS

The height of the nostrils is determined to a major degree by the position of the undercut tip cartilages, and the amount of cartilage left. In your case then OST likely reason is that the paired tip cart have healed in an uneven position. They could be realigned with a revision of the tip,...

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H. Baki Yilmaz, MD - Account Suspended

You do not have to wait a year for fillers. Adding a filler, if added at the proper amount, will not affect the healing process.

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Andrew Kornstein, MD, FACS

According to the operative report, your surgeon used non destructive(no cartilage cutting or excision) techniques; suture tip techniques are generally reversible, therefore modification of your tip is possible. Your tip should be viewed with respect to the rest of the nose as well as your face...

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Marc Polacco, MD

Thank you for your question. You do not have to have steroids after a rhinoplasty. Although they can help with swelling, it isn't an absolute necessity. I hope that helps, and best of luck to you.

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