Hi Tamaraxp, thanks for your question. You've probably researched this topic and realize the added complexity involved in your situation. My recommendation would be for you to interview several experienced rhinoplasty specialists, particularly those with experience in cleft rhinoplasty. You should ask to see pre/post pictures and have your surgeon clearly explain to you how they would approach your case. Best of luck!
Thank you for the question and what surgeon could do the best job for you is hypothetical at best, but go on several consults with experts and compare photos and fees and find your surgeon.
When patient's have a cleft lip and a cleft palate, it makes the rhinoplasty procedure very challenging. It's important to have realistic expectations about what can be accomplished. Having had a previous septoplasty will complicate the procedure even more, because cartilage grafts are required to help make the nose look more symmetrical.
Hello. It would be most helpful to see a picture of your face prior to giving you some recommendations. But in general, most of the changes you want made to your nose are reasonable, and should help feminize your nose tremendously. Good luck!