I had a rhinoplasty in 2021 to shave down a large bump as I had a very ethnic nose. Post surgery I noticed that there was a dip in the left side of my nose and bone that was still large or gave a bump look, as well as a curved appearance to the left. In 2023, I went back in for a revision rhinoplasty in which the bumps were further shaved down and a crushed cartilage graft was placed in the dip of the left side. I am now 2 years post op and have noticed that the curvature has not gone away from both the bridge and tip of my nose. I went into my plastic surgery office to see what my options were and my doctor suggested an in office procedure where he would shave the right side of my nose as he believes that is what is given the curved/crooked look. Should I move forward with the in office procedure or look to another doing another revision operation? I am very unsure of what to do in this situation as I never anticipated that 4 years after my initial procedure, I would still be dealing with the appearance of my nose. What are your recommendations?
Hi Doctors! Just after an opinion really. I broke the bridge of my nose when I was 10, and had a primary rhino at 16 to fix the hump on my nose. I was young and didnt really look into options at that age much. Anyway, 15 years later I decided to have an alar base reduction, it seemed like a a small procedure just done under LA. Sadly, it left me with a deviated septum and my nose appeared even more crooked. It started to really affect my confidence and breathing. I then went to an ENT specialist who suggested I have a septorhinoplasty with a rib graft, with minor cosmetic touch ups (nose was dropping and bridge was not smooth).Its now been 14 months since the operation and I feel I am fine breathing wise but my nose looks so large. My surgeon is advising me to wait a little longer for residual swelling g to go down but it feels like bone to me and the nose tip looks fuller. Is it possible to get another revision done, is it advisable? I am now at a point in life where I am dodging friends/ photos etc. any advice would be helpful
Three years ago I underwent the following procedure to increase air resistance on the right side of the nose: Right-sided hemitransfixion incision. Elevation of the mucoperichondrium, only on the right side. A couple of cartilage grafts were inserted at the anterior portion of the septum. Closure of the hemitransfixion incision. Unfortunately, since the surgery I have been experiencing persistent pain in an area of the right septum. In that same spot, the mucosa appears thinner and at times I can even see part of the implant underneath. For this reason, I would like to consider removal of the cartilage grafts. I would appreciate your opinion on the following: 1) Is this a difficult operation? 2) Could removal of the grafts further damage the nasal mucosa? 3) Is there a risk that removal could create scarring? 4) Is there a risk that removal might worsen nasal dryness? 5) Is it likely that the grafts have adhered to the septum making removal more complicated? Thank you very much for your time and advice.
I had my revision rhinoplasty 6 months ago, mainly due to fixing my front profile ( issues mainly symmetry and shape) and also wanted to improve my side. I have ended up with symmetry which is worse and just so much unevenness, I also now have this cartilage that pokes out above my nostril. I made a morph, I want to know if this is possible and what issues I have now?
I am over 1 year Post Op (Septo-rhinoplasty) and as you can see I am left with a very bad scar along my columella. There are also some symmetry issues with the alignment of the columella and inner nostrils. This can be seen from the 3/4 view as well as the profile. It looks as if the upper part of the columella is slightly lower than the bottom part of the columella, so the two sections do not sit flush. Can this be fixed with just a simple scar revision, or would cartilage need to be placed in the lower section of the columella? Additionally, I would greatly appreciate if anyone could tell me if they have seen this issue before. Kind regards, M
First, I know reversal to the old nose isn't possible, I mean get some similar features back. When I look at revision rhinoplasty images for surgeons they all do similar things as the primary such as remove hump, rotate tip up, and narrow nose. So if someone want's something else there is limited proof of good results. This a from a blog of a facial plastic surgeon: I perform many revision rhinoplasty procedures to correct ski sloped noses but most people want them straight. I have actually never been asked to put back a large bump or hump. I was not sure how effective I would be at recreating a hump. I used a nasal implant and added sheets of cartilage to the undersurface of the implant and sutured them all together. I was amazed at the result. I was able to give him a hump just as he asked for. This is not the best looking nose for his face by any means and not what I would have recommended had he asked me to what I think would look best. But this is a perfect example of making sure that the surgeon listens to the patients and gives the patient what they want, not what the surgeon wants. This has already tremendously boosted his self esteem and will continue to change his life for the better in many ways. This is the only example I've found and no proof to show for it. So if someone's primary surgeon doesn't want to do a reversal to add some features back, there really aren't many options left.
I had a rhinoplasty around 3 years ago and my nose looks really bad. Its very asymmetrical and the nostril show was even noticed by my sister as strangely showing. I wanted to hear some opinions in case im overreacting. The columella also seems to be drooping down somewhat.
I got a septorhinoplasty done in May 2024, the table photos looked great, especially the nostrils. I then had stents put in as usual as well as a cast and nostril retainer. Was in excruciating pain the first week despite pain meds which was not the case with any other patients I had talked to which I thought was a bit weird. At one week, I went in to get cast off and stents out, and second photo was how my nose looked. The tops of my nostrils were completely split open and looked awful. I was alone during all this and due to the pain, had not been eating/drinking much and so I was honestly busy trying not to pass out during this cast removal & was scared to even ask about the nostrils. It is now over 6 months post-op and they have closed a bit but when smiling that slit/pig shape shows as well as scarring from the opening. I cannot find anyone online ANYWHERE that has had this issue and I just have no idea what could have caused this. I have a possible ehlers danlos condition and have considered that being a cause?? Would also like to know what I could do in the future to get nostrils back to a more rounded shape.
I have been incredibly happy with my results however at around 9 months PO my grafts have started to become very visabke from the front. Especially during smoking. The graft it crooked and pointy. I am happy with the rest of my nose and wouldnt not want to change any over part of my nose appart from softening the tip. I love my bridge, my profile rotation and nostrils I just want the tip to be soft again. Could this be successfully done without effecting the rest of my nose?