Rhinoplasty Revision only one month after for nose too far away from my face presented by Dr. Philip Young of Bellevue | Seattle: There are many options to reduce the height of your tip and nose through rhinoplasty revision.  This is reliant on many factors.  Your nasal anatomy is vital and what you are specifically conversing  about. I would need to see pictures to fully give the correct or best answer. When you say that your nose is  “too high from my face”, it suggests to me that the tip and nasal structures in general from your face is too far away.  This is termed excessive tip and nasal projection. There are many alternatives to decrease this situation.  You can excise the cartilages and set them backward. Just the approach to rhinoplasty will often release some ligaments that hold your nasal tips away from your face.  Cutting the attachments from your tip cartilages to the upper parts of your nose will often also break up forces that are holding your nose away from your face. Your septal cartilage also has a big impact on the overall projection and reducing the height of the septum will also decrease your projection.
One month is too early.  Most surgeons suggest and believe, in general as a group, that 6 months is the earliest.  If there is something obvious some surgeons will elect to do a minor revision as early as 2 weeks in some rare situations. Your surgeon or a surgeon that is familiar with your previous procedure (through communication with your original surgeon) can best determine what to do.  You don’t have to wait a year in my opinion.

Rhinoplasty

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our website at www.drphilipyoung.com

This is a question that a patient asked me in regards to their nostrils being higher on the right side as opposed to the left side. Here is how I answered:

Alar rim grafts and composite grafts can help lower your nostrils through rhinoplasty. Remember though that every person is asymmetric and this is built into our neuroanatomy to choose asymmetrically our mates. I don’t see that the attachment is much different from each side but other pictures would help.  Alar rim grafts are cartilage grafts that are put along the nostril margin or rim (hence called rim grafts) to help lower the rim.  Composite grafts are made up of ear cartilage grafts that are a composite of skin and cartilage.  This combination allows you to lower the rim even more when this is incoporated.

If you ever want some questions answered you can always contact us.

Thanks for reading, Dr Young

Dr. Philip Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for a patient that had surgery from another surgeon who had a tip that was protruding and a bump at the top of the nose:

Results are hard to judge early after a Rhinoplasty. During the first month, swelling that occurs differentially over the nose can present results that are less than desirable.  This can occur due to multiple reasons.  Bleeding in one area over the nose more than others can lead to contour changes that will most of the time resolve. Manual shaping can be important part of the post operative care for the rhinoplasty patient. This can also make the nose look less straight as well from the front as well as the side.  Your surgeon should know the best.  The crooked nose or deviated nose is one of the most complicated procedures to do in rhinoplasty and requires most all of the skills in rhinoplasty that your surgeon will need to have in his skill set. The small hump at the top could be a localized area of swelling from bleeding and could use some massage. Your physician should help you through this stage.

Here is a before and after of a person who had a small hump and also a tip that was too projecting and turned down.  You can see more Rhinoplasty Before and Afters here.

rhinoplasty-before-after-images

Cheers!, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

Choosing a Rhinoplasty Surgeon should be taken from multiple different approaches. I think research over the internet is a good place to start. This is a way to get to know the rhinoplasty surgeon and to see if you get the right feel from this initial experience.  I would look up the doctors credentials. Look for things that set him apart from the competitors.  How are the before and afters? This is vital.  I wouldn’t necessarily go by reputation.  You want to find someone that will take care of you personally and will pay attention to your needs.  If you go to someone that is really busy they may not spend enough time during your consultation or during your procedure. Look for testimonials.  Ask for references.  Get multiple opinions, any good doctor / surgeon will tell you to do this (if they are confident). I would at least see 3 different surgeons to get the right feel that you are looking for.  How accesible is the doctor. Can you get a hold of him via email, phone etc? Hope this helps!

Below is a Rhinoplasty consult that could help you during your consultation with your Rhinoplasty Surgeon.

Hope this helps!

Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington