Terrified of even more complications - can I see improvements with an open Revision Rhinoplasty?

Question

After a complication with my original rhinoplasty, my surgeon offered an in-office “revision” that didn’t fix the problems; I still have a bump on my right side wall, a dent where there was once a collapse, crooked nostrils, and a bulbous/drooping tip. My nose completely changes shape when I smile. I’m not happy with it, but I’m terrified of even more complications, asymmetries, etc. Are my expectations too high? Is it too risky? Or can I see improvements with an open revision?

Marc Polacco, MD · Answer

Thank you for your question. Unfortunately, most of your concerns probably won't be well addressed during an in-office procedure. When you change one structure of the nose, adjacent structures are also affected, as is the general aesthetic. I think if these concerns are bothersome enough to go through another surgery, the best would be an open approach to maximize control of structures and give the best chance of a satisfactory result. Hope that helps.
Dr. P

Eric M. Joseph, MD · Answer

The feasibility of revision rhinoplasty always requires an examination. That said, you appear to have a persistently wide nasal appearance and a droopy tip appearance. Depending on your examination, and depending if you have ample septal cartilage for tip reconstruction, tertiary revision rhinoplasty may be considered. We did a tertiary revision case yesterday, and despite 2 surgeries, it was clear during surgery that not much was "done" by the first surgeon. Hope this helps. Dr Joseph

Richard Mark Winters, MD · Answer

Your plunging tip is the consequence of poor support… the likely solution to this issue is a septal extension graft which (at least in my hands) is most accurately placed by way of an open approach..

Good luck…

Good luck…

Terrified of even more complications - can I see improvements with an open Revision Rhinoplasty?

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