Rhinoplasty unhappy with results

If you are unhappy with your results, I would give it another six months before considering a rhinoplasty. Certainly improving the profile is possible, and you may want to address the tip as well. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Incomplete Rhinoplasty Results

What you are seeing now is essentially the final result. You have an incompletely reduced nasal dorsum with irregularities and a too full (high) supratip area.

This is partially the result of the closed technique but may also represent differing objectives between you and your surgeon.

You needed a more aggressive hump removal and it appears that the lower end of the septal height has not been reduced at all.

Your rhinoplasty result shows an effort that is not enough for adequate correction of your nasal profile. (Barry L. Eppley, MD, DMD, Indianapolis Plastic Surgeon)

Rhinoplasty result

It looks like not much was done. The dorsum is a bit irregular and probably not as low as you wanted. One issue might be however, in order to get the result you might have wanted you might actually need “more” done in order to maintain the tip position.

Sometimes that sounds like a turnoff to patients. Return to you surgeon and be clear of what you want Hopefully he/she will want to help you further. (Ronald Schuster, MD, )

Interum rhinoplasty results

Rhinoplasty unhappy with results before and after

Based on the images submitted it appears as if the answer is a maybe. At 6 months there is likely bony callus and some supratip edema present. I have seem both improve between 6 and 12 months. I have also seen it not improve.

I would personally recommend waiting and comparing photos with your doctor between now and 3-6 months from now. If no change then revise, if some hangs then wait. 2 things worth noting:

  1. if a revision is needed, it’s relatively simple compared to the primary.
  2. don’t revise too early to avoid having an uverreduced final result. (Richard W. Westreich, MD, Manhattan Facial Plastic Surgeon)

Unhappy with Nose Job Result

Rhinoplasty unhappy with results photos

I ASSUME that you and your surgeon agreed before surgery on how your nose would generally look after the surgery. This would the have generated a discussion on what surgical maneouvers would need to be done to generate that look.

You did not provide frontal nor “worm’s eye” view which have provided more information but from the images you provided it appears – your nasal bones were not sufficiently reduced in height – the depression in the mid nose probably correlates to a reduction in a portion of the Upper lateral cartilages’ arch (dorsum) – the nasal tip is slightly sagging and – there is no discrete supratip break (a point of depression between the back of the nasal tip and the arch (dorsum)

While the depression may be covered up with fillers, you may require a revision to correct the present appearance. Most surgeons would wait at least a year before re-operating. (Peter A. Aldea, MD, Baltimore Plastic Surgeon)

The nasal bone will not change

Rhinoplasty unhappy with results pictures

Your results are the final result. The common complain about tip swelling is different than your complain. You may benefit from revision to reduce the dorsal hump and I would recommend open rhinoplasty. You may try filler as a temperay solution to make the dorsum smoother. (Kamran Khoobehi, MD, Memphis Plastic Surgeon)

A well-performed Injectable Filler procedure may be used to improve the indentation in your nose after Rhinoplasty Surgery.

I read your concerns and reviewed your photos: You have an indentation in your mid-bridge which will not likely improve much with time. It’s the site where your bridge was the most prominent. If you’re looking for a smaller, cuter nose, you may want to consider consulting several revision rhinoplasty specialists for their opinions. The indentation on your bridge has an “operated” appearance, but you have a non-surgical option to improve this. A well-performed Injectable Filler procedure may be used to fill the indentation in your mid-bridge and above your smaller “bump”.

RhinoplastyNose jobresults

This could produce a nearly straight profile which you may find attractive. My personal preference is to use Silikon-1000, an off-label filler, for permanent results. Again, if you desire a smaller nose with a cute, curved profile, you’ll likely require another rhinoplasty. The good news is that although your results look “operated”, in the right hands, revision rhinoplasty surgery to lower the height of your bridge should provide marked improvement. (Eric M. Joseph, MD, West Orange Facial Plastic Surgeon)

Residual dorsal bump

Rhinoplasty unhappy with results swelling

I expect at 6 months that the remaining bump, and the general under-reduction of the dorsum of your nose will not change much. You need to wait the full year and then re-discuss your options with your surgeon. Generally speaking an open revision approach will give more control over the relation between the height of your tip and the height of your dorsum (that is, your side profile). (Douglas J. Kibblewhite, MD, Vancouver Facial Plastic Surgeon)

6 months post rhinoplasty

It is 6 months out, and you still have more healing to go. I usually recommend waiting a year for full healing to occur, before considering any revision procedures to allow all blood supply to normalize to the nose.

It looks like the dorsum of the nose could have been taken down further. Commenting on the tip is difficult as you did not give a front view. I would either return to your surgeon for further discussion or consider a second opinion. (Rick Rosen, MD, New Orleans Plastic Surgeon)