Who is the best revision rhinoplasty specialist to fix a crooked nose? (Photo)

Revision rhinoplasty is harder than a primary rhinoplasty,  so choose your surgeon very wisely based on extensive experience, and have reasonable expectations. There is no perfect nose, but it can certainly be made much better. To straighten  the nose requires osteotomies placed in the nasal bones, and usually a spreader graft placed underneath the concave upper lateral cartilage in the mid portion of the nose. Some minor tip adjustments are sometimes necessary as well. It is important to know whether or not there is any cartilage left on the inside of the nose for potential grafting purposes.  Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. For many examples of crooked nose repair in our practice, please see the link and the video below

Although baseball is a statistical game and most players who bat .300 will go to the Hall of Fame, rhinoplasty (or any surgery for that matter) doesn't work that way...unfortunately, sports are more transparent and competitive than surgeryThere are far too many self proclaimed rhinoplasty experts...vetting your surgeon can be difficult and time consuming but is essential... for every 10 surgeons (be they Plastic Surgery or ENT trained) who hold themselves out to be rhinoplasty experts, 9 are either exaggerating their talents or don't know any better....that still leaves many in your area and beyond who really know their stuff and practice exquisite rhinoplasty surgeryCredentials and proper training are a must, but beyond these minimum requirements you should look for the following traits in a rhinoplasty expert:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. practice focused on rhinoplasty 4. willingness to do difficult, secondary and reconstructive cases5. interest in teaching others how to evaluate and do rhinoplasty properly6. willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsOnce you have gotten that far, you will have to become comfortable with the surgeon's assessment of your nose and trust their aesthetic judgment and plan for your surgery.  Straightening a crooked nose is tricky but obtainable.... it usually requires a combination of cartilage molding techniques and structural grafting....in my practice, I use only septal cartilage when available or costochondral (rib) cartilage as a great alternative as these are rigid and reliableI know you are scared and frustrated....take your time to find someone who really 'gets it'..... make sure the plan is solid and described in detail to yougood luck

Dear alli_104,

Thank you for your clinical post and
photographs. In keeping with previous
posts and comments at 4 months it is still far too early to evaluate the final
result of your rhinoplasty surgery. I
think there has been some nice improvements to your overall nasofacial balance
and proportion and there is evidence of a post-operative crooked nose
phenotype. This may improve over
time. The use of soft tissue fillers can
camouflage it in the interim and at one year final evaluation should be
made. I’ve been performing rhinoplasty
surgery for over 20 years and was fortunate to train in both plastic surgery
and ENT head and neck oncology. Having
trained with both ear, nose, throat and plastic surgeons one of the best
secondary rhinoplasty surgeons in the city would be Dr. Peter Adamson. I’ve always found his secondary work to be
excellent. He’s an honest and integral
surgeon with a high degree of rhinoplasty skills. I would certainly recommend seeing Dr.
Adamson as you approach the one year mark to discuss possible revision options.

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