Those of you who are very observant are wondering why he shows more nostril
in the before picture than in the after picture. More nostril usually
means that the nose is shorter, but the nose wasn't lengthened during surgery,
to decrease the amount of nostril shown.
The answer is that the work to bring the tip cartilages closer together and
to decrease his columellar show tucked up the base of his nose and changed
the curves of skin around the tip enough to partially hide the nostrils.
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Is There Hope for Another Revision Rhinoplasty?
I had a revision rhinoplasty to fix my deviated septum. I wanted to keep the shape and size and only fix the deviation. A graft was placed (not from my body) but I was surprised that now my nose appears to have bad scar tissue, resulting in a "no shape" and bulbous nose. Could another revision fix my nose, for the last time? Or, will scar tissue keep forming? Can my nose be slimmed and defined? I live in Saudi, but I'm considering a revision in the states. Is there any surgeon you recommend?
(Questioner submitted photos)
Dr. Denenberg's answer: Removing scar tissue to give definition to the nose can be difficult
While it's true that some scar tissue will always form after any operation, the question is whether your scar tissue can be carved enough to give a meaningful improvement despite the new scar that can form. Sometimes the cartilages can still be modified to help with narrowing and defining, or adjusting or removing the graft could help.
Could you post larger photos, taken from many angles, and also let us know where the graft sits? That would help.
Link to this question on RealSelf.com