Not a good candidate for Revision Rhinoplasty? (Photo)

Question

Have recently been looking to get a revision rhinoplasty. One surgeon that I thought was the right fit stated that I was a not good candidate for revision rhinoplasty based on these photos. My overall goal is to straighten my nose. Please be advised that my surgery was over nine years ago and it was my only one. About a year later I received some Silikon 1000 injections to alleviate how drastically crooked my nose appeared. That was 7-8 years ago.

Gianfranco Frojo, MD · Answer

The Silikon injections that were performed really complicates the future surgery. I would highly recommend returning to your original surgeon and discussing all of these issues.

Nima Shemirani, MD · Answer

Hi @Samurai_S! I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

Eric M. Joseph, MD · Answer

In our practice we recommend revision rhinoplasty as a "last resort." Based on your photos, adding a bit more Silikon-1000 to your left sidewall may lead to a straighter, but wider nasal appearance. If you're looking for a narrower and straighter nasal appearance, revision rhinoplasty may be considered, depending on your examination. The presence of silikon-1000 in your nose would NOT preclude further surgery unto itself. Hope this helps. Dr Joseph

Gurkan Kayabasoglu, MD · Answer

Hello. The surgeon who said that you were not good candidate for revision rhinoplasty said so because he was not experienced enough to perform your surgery. Every experienced and successful surgeon can revise your nose as much as the skeleton of your nose allows. You need to find yourself a successful surgeon. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

William Portuese, MD · Answer

Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact there's been previous alterations to the normal anatomy, and scar tissue. The reason that your nose appears crooked is that you're right side has a convexity of cartilage just above the nasal tip, and you're left upper lateral cartilage is collapsed. Shaving down small amount of cartilage on your right side, and adding a spreader graft composed of your own cartilage would give you some improvement. There is no perfect nose. Your nostrils Will still be asymmetrical. It's very important to know how much cartilage is left over on the inside of your nose for grafting purposes

Not a good candidate for Revision Rhinoplasty? (Photo)

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