Rhinoplasty: Cost, Pics, Reviews, Q&A

Poor Rhinoplasty Result: What’s Next?

First, I agree, this is a disappointing result and it will not magically get better with time. The problem is that the underlying structural problems were not adequately corrected.

You will need a second surgery. My advice is to wait for a minimum of 6 months before considering doing anything. You may want to get a second opinion.

If you do, make sure that you choose a surgeon that specializes in revision rhinoplasty. This surgery is much harder than primary rhinoplasty as you must be skilled in both correcting the aesthetic and functional problems as well as have the ability to correct the mistakes that other surgeon have made.

Trust me, sometimes this takes great creativity. In the meantime, you may want to see an ENT to help with the irritation you are experiencing. (Joseph Campanelli, MD, Minneapolis Facial Plastic Surgeon)

You have not yet achieved your final nose result–that will take 6-12 months! Be patient!

You do have some visible asymmetries, probably present before surgery, and incompletely corrected. You undoubtedly have swelling and scar tissue that has to soften and settle over the next many months, after which the nose will feel softer, return to normal sensation, and have gradual reduction of swelling. Appearance WILL change.

So, be patient. You DO have scar tissue; your nose is incompletely healed, and it is much too early to be happy or unhappy a this point.

Poor Rhinoplasty surgery Result

Revision is always possible and may indeed be necessary for an improved result, but is not recommended for at least 6-12 months to see what the actual result is that you want to change. Operating prior to that is like trying to hit a moving target. (Richard H. Tholen, MD, FACS, Minneapolis Plastic Surgeon)

Unhappy after rhinoplasty

In the first picture it looks like you have a lot of nasal tip congestion, suggesting that there was a lot of vascular compromise. This will require that much more time for healing and scar maturation. You may need a revision if you are not happy but except in cases of severe disfigurement you should wait a full year before considering more surgery.

Poor Rhinoplasty Result images

I would be very apprehensive about more nasal surgery given the amount of congestion shown in the first picture: the blood supply to your nasal tip looks very tenuous. (Daniel Greenwald, MD, Tampa Plastic Surgeon)

Rhinoplasty issue

Of course, it is always helpful to see the pre-op photos but the septal deflection and tip position is obvious. This sometimes is uncontrollable. You will more than likely want revision but you will have to wait about a year for thins to solidify and soften. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Twisted nose after surgery

Poor Rhinoplasty Result nose job

Sometimes things do not heal as planned or expected. Revision procedures to improve the result are occasionally indicated. Your situation, I believe, should be carefully approached, meticulously planned, and as flawlessly executed as possible. (Steve Laverson, MD, San Diego Plastic Surgeon)

Deviated columella after rhinoplasty

I can certainly see the asymmetry of the columella that you’re concerned with. Without examining it in person it’s hard for us to tell what factor(s) are leading to it. It seems to have evolved from your one week to two week photos especially so there could be a scar or tissue swelling component. Unless there’s an infection it is normally best to give your nose time to heal so that it has stabilized so you and your surgeon have a better idea of the final result. (Thomas A. Lamperti, MD, Seattle Facial Plastic Surgeon)

Revisional Rhinoplasty

Poor Rhinoplasty Result photos

Sorry to hear about your experience. It does appear from your photos that the rotation of your nasal tip may be due to the deviation of your septum. To truly tell, I would need to see you for a formal consultation. To consider a revsional rhinoplasty, much of the swelling from the original surgery must be gone, and the tissues over the bridge of your nose should slide easily. If you feel comfortable with your original surgeon, I suggest you follow up with him. Otherwise, I feel you should find a board certified plastic surgery experienced in revisional rhinoplasty. (Richard Ellenbogen, MD, Los Angeles Plastic Surgeon)

Do I Need Another Nose surgery Surgery?

Poor nose job surgery Result

Unfortunately, you demonstrate rotation of the nasal tip most likely related to deviation of the frontal end of the septum. It appears your right nostril is partially blocked off by the process. IF this is the case (and without an examination) no one can tell, you will need another operation to attempt to correct it.

Your surgeon is partially correct in feeling that it is too soon to call it but the amount of deviation does suggest that a formal revision MAY be needed. (Peter A. Aldea, MD, Memphis Plastic Surgeon)