Help! I Hate My New Nose

More than some other process, rhinoplasty surgery appears to have the very best variety of revision charges. Some research level to fifteen p.c, others say nearer to twenty. However, if we go by popular culture alone it’s protected to say that noses usually get a redo. Because the nostril is featured so prominently on our faces, it’s arduous to not discover when our favorite stars are on their second or third nostril jobs.

For the typical affected person, the choice to bear a secondary or third process is commonly one fraught with concern, doubt and anxiousness. While nobody desires to bear one other process to fine tune results, the nostril is just not part of the physique you’ll be able to ignore. It’s one of many first options you see when your self within the mirror, which is why outcomes that don’t really feel or look they go together with the remainder of your face are sometimes corrected. Here, high rhinoplasty surgeons share precisely what to do should you’re not vibing along with your new nostril and the way to proceed with a rhinoplasty redo.


What’s the very first thing it is best to do should you dislike your nostril job outcomes?

“If you just had the surgery and are less than one year after surgery, the first thing NOT to do is panic and start planning another surgery,” says New York facial plastic surgeon Edward S. Kwak, MD. “Try to keep a positive outlook and keep your scheduled follow-up appointments. Communicate with your surgeon directly your concerns and issues. Oftentimes most of these concerns are related to normal post-operative swelling and healing which your surgeon can assess and reassure.”

“If it is early after surgery, I would take a deep breath and tell yourself that bumps, swelling, and even sometimes minor crookedness can improve as sometimes these issues are the result of asymmetric swelling,” provides Chicago plastic surgeon Michael J. Lee, MD. “If the nose is too small after surgery or the tip is rotated down after surgery, these issues will not likely improve and I would advise talking to your surgeon about these issues and when they could possibly be addressed.” 

How lengthy do you have to wait earlier than making a ultimate determination on outcomes? When are they near everlasting?

Just a couple of months out from surgical procedure? Now is just not the time to make a ultimate determination say our specialists, as it may take as much as a full yr to see your ultimate rhinoplasty outcomes. “The majority of swelling will resolve after the first six to 12 weeks post-operatively,” says Vero Beach, FL plastic surgeon Jimmy H. Chim, MD. So when can you actually get a good suggestion of what your nostril will appear like? “At six months your rhinoplasty results will be fairly close to final and evaluation can likely begin to address concerns that may be amenable to revision.”

“Your surgeon will ask you to be patient to separate the swelling from the surgical result,” shares Campbell, CA plastic surgeon R. Laurence Berkowitz, MD. “This can take up to one year. However, in my experience, when a patient is unhappy on day one they are unlikely to be any happier—probably worse—on day 365.”

Salt Lake City facial plastic surgeon P. Daniel Ward, MD says the nostril is likely one of the most irritating elements of the physique to heal. “It takes 12 to 18 months for all the swelling to go down and for all the scar tissue to settle,” he explains. “Patience is difficult, but it is a necessary part of the process for healing after any surgery, but especially the nose. Remember that most of the changes that you see are related to the skin and soft tissue of the nose and those areas take time to heal.”

Is there a threat or draw back to getting a revision too quickly?

“Fixing,” what you may see as a priority too early can result in additional unhappiness down the road, cautions Arcadia, CA, plastic surgeon Arthur Y. Yu, MD. “When the nose is still very swollen, a revision surgery could induce more scarring, affecting the final result. Furthermore, your surgeon may not be able to provide a clear diagnosis as to what happened. As a result, this type of revision might end up being a failure.”

Further swelling, edema and scarring could make it tougher for a surgeon to get the nostril to your required form. “It’s like driving via fog. All of this shall be executed in an effort to revise one thing which will very effectively resolve with time. Most plastic surgeons would seemingly discourage early revisionary rhinoplasty on this ‘game of millimeters,’” notes Dr. Chim.


What if I dislike my results but no one else sees the issues I do?

According to Dr. Lee, many times the dissatisfied patient is dealing with an issue of perception versus reality. In this case, the best approach is a conservative one. “If no one else sees the issues that bother you, I would strongly recommend against trying to revise it. All surgeries have risks and sometimes a revision can create thinner skin and may also result in deviation, scarring and visible cartilage grafts. If other people don’t see the problems that hassle you, the flexibility to vary and enhance a minuscule difficulty could create extra noticeable issues.”

The misperception of outcomes is such a standard difficulty, Dr. Berkowitz says surgeons have even developed strategies to assist ease the affected person into their outcome if the unfavorable response is excessive. “This has been studied and good suggestions made for surgeons for methods to handle the dysphoric patient on the day the cast comes off,” he explains. “The following suggestions have been presented at our Rhinoplasty Society meetings by former President Dr. Ronald Gruber, who is quite knowledgeable about psychology and perception. First he recommends immediately taping the nose with beige 3M Micropore tape, which is like putting a bandaid over a blemish, and often the patient will immediately feel some relief upon reflection. Secondly, in cases of a severe reaction, treatment with a beta blocker such as propanalol helps to block the PTSD type of physiologic response the patient may be experiencing.”

“Remember that imperfections and asymmetries are part of a normal face,” shares Dr. Ward. “Focusing on one area too much can be something that causes an undue amount of pressure that you may put on yourself.”