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

Question

I had a rhinoplasty several years ago and was left with a hanging columella. I was unhappy being able to see so much nostril from the side so I got a revision surgery. Since getting the revision, my septum has slowly shifted more and more towards where it was before the surgery and additionally my septum is very crooked now I can’t easily breath out of my left nostril anymore. I regret ever getting rhinoplasty and just wish I had my original nose back. Is there anything I can do??

Nima Shemirani, MD · Answer

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!

Jonathan Kulbersh, MD · Answer

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.

William Portuese, MD · Answer

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.

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

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

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.