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1 year ago, I had an unsuccessful rhinoplasty. Now my mouth and smile changed. How can I know if Depressor septi nasi was cut?

SmiforeverSep 15, 2019
the surgeon did excessive cephalic trimming (revision doctors told me. surgical report has nothing inside) and left me with severe pinching, inverted v deformity, open roof, Collumela retraction, A little bit of upturned tip and ala, minor Polly beak deformity. He also touched the septum. Is there any way I could know if he touched the septi nasi muscle? it was done by closed method. I have preop and postop MRI and CT. are there method the muscle back? I know Dr. Ion does that. Thank you.

Answers (1)

From board-certified doctors and trusted medical professionals
Oakley Smith, MD, FRCSC profile photo
Dr. Oakley Smith, MD, FRCSC
Certified Facial Plastic Surgeon
4.8 | 179 Reviews
Answered on Apr 27, 2020
Answer
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Steven M. Denenberg, MD

I agree with you: I don't like how the surgeon increased the projection of your nose. It's too prominent.Also, though, the tip is hanging low, and could be elevated. The woman in the short video that I posted with this answer had the tip of her nose elevated in her revision operation.The good ...

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Lucian Ion, FRCS

The problem that you are highlighting can be addressed by surgical or nonsurgical techniques.  The advantage of a non-surgical approach lies in its reversibility.  3D imaging can also help you to define your goals. The surgical approach can be based on onlay of material to create additional w...

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Hello,Thanks for your question. From the photos you've submitted it seems as if you are suffering from a twist in your tip cartilages. This is a common problem typically associated with the normal asymmetries noses can have. It is possible to revise just the tip of your nose to address this...

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