2 years post rhinoplasty - bumpy left side and crooked right side. Can this be fixed with a revision? (Photos)

Question

I had a rhinoplasty done two years ago this summer. I’m having major issues ..… left side is bumpy all the way down - right side is clearly crooked - bigger tip and the nostril is much larger than the left. I’ve went back once last month to my surgeon and he acted as if it looked great. Please help- can this be fixed and is he obligated to do so if the outcome is so bad?

Gary M. Horndeski, MD · Answer

Approximately 15% of rhinoplasties require a revision.  Your nose is crooked and your nostrils are asymmetrical.  You will need a revision.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. You are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Kadir Berat Oyur, MD · Answer

Seeing your photos at just five days post-op, it is important to remember that you are currently at the peak of the inflammatory phase, where swelling and bruising can often look quite dramatic before they begin to improve. The "tightness" and the visible bruising you are noticing are completely expected after a surgical lip lift, as the delicate tissues of the philtrum and upper lip respond to the repositioning with significant edema. This temporary swelling can often make the lip appear more projected or the smile feel restricted in these early days, but as the lymphatic system begins to drain the excess fluid over the next week, you will see the contours soften and the bruising transition through various colors before fading. We recommend continuing with your prescribed cold compresses and keeping your head elevated, as patience during this first week is the most critical part of the journey toward seeing your final, refined result.

2 years post rhinoplasty - bumpy left side and crooked right side. Can this be fixed with a revision? (Photos)

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