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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
revision rhinoplasty
 
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After an unsatisfactory rhinoplasty, it's important to wait an entire year before attempting a revision.  The nose heals by making scar tissue under the skin, and with time that scar starts to soften.  After one year, the scar has softened enough to allow a competent surgeon to risk going back inside to take a look and see what can be done.

If a revision attempt is made too early, even to try for only a small change, the firm scar will block the surgeon's efforts, and further inadvertent damage to the appearance of the nose can result.


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All views of this rhinoplasty patient:
revision rhinoplasty
revision rhinoplasty
rhinoplasty
current: Right oblique
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: My nose looks like it's cut in the middle, and looks like an extension?
From the picture you can tell that the surgeon made a mess. Looking at the picture, do you think a surgery is necessary?
(Questioner submitted photos)

Dr. Denenberg's answer: No fillers, please! But I believe improvements can be made.
Hi,

I know it's just one photo that you posted, but there are generally ways to improve the areas that you complain about in a revision rhinoplasty. 

The "dents" can often be filled in with cartilage grafting, and they can be made further inconspicuous by lowering prominences of bone next to the dents.

Then, I don't know whether this bothers you, but the tip of your nose can be raised, too. Whenever a nose is a little smaller, the bothersome features often are less noticeable. I shortened your nose in my morph.

My guess is that the doctor who recommended fillers or fat grafting does not perform revision rhinoplasty. Respectfully, I just think that's not a good solution for what I see in your photo.

Link to this question on RealSelf.com