We performed a revision rhinoplasty (“corrective nose job”) today for a very pleasant woman who had undergone 2 previous nose reshaping surgeries by other surgeons but was left with a distorted nasal tip and dorsum (top part). What we found during the procedure was buckled nasal tip cartilages, a lack of adequate support of the nasal tip, and irregularities of the cartilage that makes up the top part of the nose near the bridge (dorsum). These are fairly common findings in revision nose surgery. Fortunately, she had all of her nasal septal cartilage remaining, which we used to replace some of the tip cartilages and to support the central part of her nasal tip that tended to droop when she smiled. We also shaved down the irregular dorsal cartilage. These techniques should give her a much softer, more pleasant nose that blends more harmoniously with her face. As we discussed with her, usually the result of revision nose reshaping is to make the nose fade away from the viewer’s eye, and instead people will focus on the attractive eyes and other features of the face; frequently patients come to our office with nasal features that are distracting rather than complementary or harmonious and that is what they hope to have resolved. Being able to help these patients provides tremendous satisfaction for us.
To see before and after photos of patients who have undergone nose reshaping surgery, click on the following link: