Too much taken off/ reconstructive rhinoplasty? (photos)

Dear lilypad27,

Thank you for your clinical post and photographs. From a clinical history and pre-operative and
post-operative photograph submitted the reduction rhinoplasty and secondary
Gore-Tex dorsal nasal revision appears to have created a very nice and
proportionate nose. Certainly one can
always be very detail oriented in assessing outcomes in millimetres, but from
the photo submitted both length and projection of your nose and shape of your
bridge is far superior to your pre-operative photo and falls more in norm with
the classic facial proportions and nasofacial balance. It can sometimes be a shock when a
significant reduction rhinoplasty results in a more delicate and refined nose
in your situation a third revision would likely be ill-advised unless, of course,
you are completely and absolutely certain that your nasal tip is under
projected. I do feel you look relatively
balanced and quite attractive and the rhinoplasty surgeon has created a much
more balanced and attractive nasofacial proportion and appearance.

Certainly visit with your surgeon, perhaps undergo some
computer imaging to see if nasal tip augmentation will allow you to be more
content with the nice results that you’ve achieved thus far.

In the final analysis sometimes it’s best to wait a year to
after rhinoplasty surgery to fully digest and assimilate the impact of changing
ones nasofacial balance especially when you had a large dominant nose both in
projection, bridge bump and length.

I have been fortunate to be trained in both ENT otolaryngology
as well as plastic surgery and I’ve been performing rhinoplasty for over 20
years. My advise to you would be not to
undergo complex reconstruction, but accept a nice improvement and enjoy your
new nasofacial balance and proportion.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto