Secondary Rhinoplasty to Restore Old Nose Shape
Q: Dr. Eppley, I have primary rhinoplasty about 8 months ago. I dislike the result and would like to restore most of my old nose back. My main concern is I want my tip/columella derotated/lengthened so my nose isn’t pointed up. My other major concern is after my surgeon took down my nasal bump my bridge is flatter appearing and my prominent contour dorsal lines are vanished. My bridge is too soft and blends into my face and I don’t like that. No nostril work was done but they changed from tip work.. they are thicker wider and more exposed. I also really dislike how my philtrum look longer because of nose upward rotation.
What techniques could be used to restore some of my old nose back? Do u do this type of procedure , Pls help?
A: Derotating a nasal tip is a challenge and requires significant cartilage grafting to do so. The first important question is whether your septum has been previously harvested or not. If so this may require rib cartilage grafting to do so. It is also important to realize that while some changes are possible by secondary rhinoplasty surgery you can never return exactly to what your nose was before.
Dr. Barry Eppley