Can my upturned nose be fixed? I look like a pig and have already had two surgeries! (Photo)

Question

I had a large nose and the front bit used to droop down,I had issues with breathing to. I had open rhinoplasty done on the nhs and a skin graft to the tip of my nose to try and resolve this. Ive had 1 revision but the skin graft hasn't settled and had a knuckled effect at the end of my nose.I can pay for this privately now but I don’t know which surgeon to consult with in the U.K. as this was done by Mr Rowe-Jones who is well known as being one of the best. How complicated or possible is a fix?

Lucian Ion, FRCS · Answer

Hello and thank you for your question. In general, improvement is possible and the technique used depends largely on the surgeon's experience and preference. For my part, I find that rib cartilage grafts are a reliable method to sustain the lengthening. It creates a firmer tip but most patients seem comfortable with it.  From the photographs I assume that the skin graft was for the lining of the nose to help with the lengthening, which is an established technique. It would be possible to evaluate your goals in a computer simulation which provides more clarity about the potential surgical plan.

Man Koon Suh, MD · Answer

Main problem of your nose is upturned nasal tip with visible nostrils.
Correction is possible, even though it is not a simple surgery. With ear 
or septal cartilage, upturned tip can be elongated effectively.
Good result is expected if the surgery is done by experienced rhinoplasty surgeons who has performed many revision rhinoplasty surgeries.

Thomas Romo, III, MD · Answer

All revision rhinoplasty cases are more complicated and risky than primary cases. The shape of the nose is the shape of the architecture. Cartilage and bone under the skin is what is usually modified at the time of revision rhinoplasty. Why a skin graft was used on you nose is of great concern. You need a consult with a surgeon who regularly performs revision rhinoplasty.

Oakley Smith, MD, FRCSC · Answer

Improvement can likely be achieved in your situation. You should seek a surgeon who does a large volume of revision rhinoplasty and have a clear discussion about what is possible and what to expect.

Can my upturned nose be fixed? I look like a pig and have already had two surgeries! (Photo)

Answers (4)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Can my upturned nose be fixed? I look like a pig and have already had two surgeries! (Photo)

Answers (4)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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