It’s been 10 months and I still hate my nose. Is there anything else I can do? (Photo)

Question

I got this procedure done in January in Chicago. I trusted this doctor I since moved to Arizona and September and I hate the way I look I spent an astronomical amount of 15 grand and I can’t help but cry when I see pictures of myself. Never thought I would want my old nose job. I am so heartbroken. Is there anything else I can do?

Lexie Wang, MD · Answer

Are you able to connect with your previous surgeon, even via telehealth? Most offices have that option now since COVID. Since you are still within the 1 year from surgery, I would talk with your original surgeon about what you don't like and see what s/he is able to offer you or explain for you. If you don't trust this person anymore or want to seek elsewhere, I would look for a revision rhino specialist.

Randal Haworth, MD, FACS · Answer

I empathize with your dissatisfaction regarding your previous rhinoplasty experience. It’s disheartening to hear that you’re not content with the results. To address the issues you’re facing, the most viable solution would likely be a revision rhinoplasty. This specialized procedure is designed to correct or enhance the outcomes of a previous nose surgery.

During a revision rhinoplasty, a skilled plastic surgeon assesses the existing structure of your nose and works meticulously to refine its shape and appearance. This procedure demands a high level of expertise and precision due to the alterations made during the initial surgery. It’s crucial to consult with a board-certified and experienced plastic surgeon who specializes in revision rhinoplasty.

Best of luck !

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos your old surgeon shave too much from you dorsum and your nose tip seems very big due to that shaving. You nose can be fixed with only revision rhinoplasty surgery. It would be more convenient to decide with face-to-face consultation. Best Regards!

Steven M. Denenberg, MD · Answer

Looking at the lower part of your nose, your tip is too projecting. That is, it protrudes too far forward away from your face. The tip also sits low, and could be elevated significantly. Those two changes would help quite a bit.
It appears that the upper part of your nose might have been lowered too much, but I'd have to see some pre-op photos to know better. But even without augmenting the upper part of the nose, adjusting the position of the tip I think would help a lot. 
Unfortunately, there's nothing that can be done without a revision.
How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Jennifer Goodrich, MD · Answer

Good afternoon,
The short answer is yes, you can make improvements in the appearance and functionality of the nose with a revision rhinoplasty. I would wait the full 12 months before entertaining another surgery. You would definitely want a surgeon experienced in revisions (each surgeon will have their own methods and techniques for addressing your concerns and no 1 way is the absolute correct way - but more surgeon experience and comfort level). If possible to get the operative report from your initial surgery, it would help your potential future surgeon make a better game plan pre-operatively. I know I am not local/close by, but would be more than happy to consult with you.I personally do not usually advocate for liquid rhinoplasty, but it is an option and would restore some of the dorsum. If you lean more towards injections, please be sure you do your research and would recommend getting injected only by a facial plastic or plastic surgeon (MD or DO). Good luck!

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