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Revision Rhinoplasty Questions and Answers

Q. I am wondering if there is anything that can be done to lengthen my over rotated nose? Not only am I unhappy with the profile, my nostrils are prominent and I have a hanging columella. How can this be corrected? Is it a difficult procedure? What can I expect the cost to run?

A. The nasal tip can be made to appear less rotated by combining a Columellar tuck procedure with some tip lengthening techniques during a Revision Rhinoplasty. You should have several consultations with experienced Revision Rhinoplasty Surgeons and IMHO, expect the cost to be between $10,000 – $15,000.

Q. I had reconstructive Rhinoplasty about 6 months ago. My then over-resected septum was partly reconstructed with rib cartilage. My breathing is now very strange. When I breathe in, air gets to the roof of my mouth. This leaves me very dehydrated at night, to the point where my tongue gets leathery! What is going on?

A. It sounds like you have nasal obstruction that worsens at night causing mouth breathing which creates the dry sensation.  You might want an examination of the nasal airway as well as a sleep apnea study or a fiber optic nasopharynx exam. The septal reconstruction might be causing some airway obstruction.

Q. I had a closed rhino-septoplasty a year and a half ago. Now, I have either extra scar tissue, cartilage, or both on the right side of my tip. My nose looks rather uneven from the front as well. I’ve talked to my surgeon about this, and he suggested a minimal surgical revision, but I don’t want to go through that whole process again. What are some non-surgical approaches to fixing this small, but frustrating problem?

A. If you are not interested in a Revision Tip-plasty, which would not require a complete Rhinoplasty, the only other option at 18 months post-op would be to add a small amount of filler to the opposite side making the tip more symmetric. Fillers add volume so the downside to this approach would be that the nasal tip would be larger, not smaller after the filler injection.