Issues after rhinoplasty several years ago. Is there anything I can do? (Photo)

Hi @Kp180000! I'm sorry you are unhappy with your results. 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. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Thank you for providing images along with your question and I am sorry you have not seen satisfactory results so far. While a better evaluation of your nose is necessary, revision rhinoplasty can be considered to address your aesthetic concerns. Since revision rhinoplasty is an even more complicated procedure than primary rhinoplasty, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Your surgeon can perform a proper assessment of your nose, use digital photography to show your projected results before surgery, and ensure the best possible outcome.

The limited photos do appear to show you have hanging columella and a prominent nasal spine which can be improved with a closed rhinoplasty approach. This involves trimming extra skin, bone and cartilage from that area with all the incisions placed on the inside of the nose. No external incisions are required. If your nasal tip droops down dynamically when smiling, it's also important to release the depressor septi ligament at same time.