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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
revision rhinoplasty
 
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Even though it seems that only small changes were made in the revision, revision rhinoplasty is still a difficult operation.  After the first operation, the inside of the nose contains scar tissue, and the second surgeon must fight through that scar in order to make the changes he and the patient desire.  The scar tissue can put a limit on what is possible in a revision operation.


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"...he is straight forward with you
and will let you know what results
he thinks are realistic. "
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All views of this rhinoplasty patient:
revision rhinoplasty
revision rhinoplasty
revision rhinoplasty
rhinoplasty
current: Right oblique
revision rhinoplasty
revision rhinoplasty

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Questioner: Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)

Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.

Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.

Link to this question on RealSelf.com



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