This is a question that I answered for a patient who had the issues above and this is my answer:

Your polly beak is very small and should be easily corrected. The polly beak looks higher than one that would be due to scarring. I would venture to say that the polly beak that you have is probably due to cartilage being left in and this can be easily reduced.

The crooked bone and septum can also be fixed.  I usually only need one procedure to correct a crooked nose.  A crooked nose requires the most extensive knowledge regarding Rhinoplasty(nose job, rinoplasty, nose plastic surgery, nose cosmetic surgery, nose shaping, nose reshaping) so its not surprising that you might still have that after having undergone two rhinoplasties.  Also one thing to realize is that rhinoplasties are the hardest surgery that a facial plastic surgeon can do.  There are many variables that can contribute to a less than perfect result.  Many times a crooked nose entails some complicated maneuvers along the key areas of cartilage that hold your nose up which many surgeons are not comfortable venturing into.  If you are not careful your whole nose could collapse if not done well.  Many times the cartilage is what is holding your nose in a crooked nature and it requires releasing cuts into the cartilage itself to release the crooked forces that hold your nose in that state.  Then the cartilage needs to be reconstituted and strengthened with other cartilage to solidify the new form.

Hope that helps!

Thanks for reading, Dr Young

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

This is a question someone had asked regarding whether a broken nasal tip could be fixed. He had mentioned that the tip is now more droopy, bulbous and has irregularities on the surface above and on the nasal tip.

Rhinoplasty can fix your broken nasal tip. When you say broken, it might be good to mention that there are actually no bones in the nasal tip.  The nasal tip is made up of cartilages and your trauma to the nose could have caused the cartilages to be damaged. The drooping may have been caused by some of the cartilage losing its connections from elements that are higher up on the nose.  The bulbous change could be from scar tissue. All of these changes though require quite a lot of force, so you must have hit your nose pretty hard.  These changes can all be improved for you through rhinoplasty (nose job, rinoplasty, nose plastic surgery, nose cosmetic surgery, nose shaping, nose reshaping) and it will essentially require tip work and very likely no treatment to your nasal bones.  One question is whether you have closely looked at the pictures of yourself long before.  Sometimes people notice things more after an event and attribute it to the event when it was really has been happening for a long time.  This is just a thought though and all this could be from the trauma.

Hope that helps!

Thanks for reading, Dr Young

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

Reducing the Bulbous tip can be done but the results often depend on what the tip is made of during Rhinoplasty (nose job, rinoplasty, nose plastic surgery, nose cosmetic surgery, nose shaping, nose reshaping). If the bulbous tip is made up of thick skin this presents a dilemna.  A surgeon can defat the tip but this can increase irregularities to the skin and also can cause skin to possibly be devascularized and worst case scenario die partially.  If the tip is made up of cartilages mostly creating the bulbous tip, you can be more certain that the tip can be reduced significantly.  This is done through non destructive reversible suture techniques.  You can make a nose look quite a bit different. Because the nose is in the center of the face, the appearance of the face can be markedly altered.

Thanks for reading, Dr Young

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

Fillers can be an option for a non surgical Rhinoplasty (rhinoplasty, rinoplasty, nose plastic surgery, nose cosmetic surgery, nasal hump removal, non surgical rhinoplasty) and can be less expensive.  The results though are temporary.  It can be used to fill in volume to augment and make things bigger.  But fillers have a harder time to make things smaller especially the tip area.  A nose hump can be made to look smaller through filling above and below the hump.  Again the results are temporary.  Through my experience, I have noticed that rarely fillers can last for years.  The cause of this is through scar tissue surrounding the filler protecting it from getting dissolved by the body.  Most permanent changes are effected through some surgical type of procedure. Permanent fillers are an option but inferior to surgical means and can have significant complications.

Thanks for reading, Dr Young

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

Shortening the long nose is a fairly common thing in Rhinoplasty (rinoplasty, nose job, nose plastic surgery, nose cosmetic surgery, nose augmentation, nose enhancement).  It involves shortening the cartilage that is holding the nose in a long position. Bringing in pictures helps the surgeon know what you are talking about. This can be a vital factor in getting what you want out of Rhinoplasty.  One thing to realize is that you should be realistic about what can be achieved. A rhinoplasty will improve your look, but you may still look like you just better. To totally change your look, a lot usually needs to be done.

Thanks for reading, Dr Young

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

What is important is how pleased you are with your nose. A turned up nose can be turned down so to speak through Rhinoplasty(rinoplasty, nose job, nose augmentation, nose plastic surgery, nose cosmetic surgery).  When you go see a facial plastic surgeon, you should ask to see what your nose would look like by altering it on a computer with a special imaging program. The surgeon can get a better idea of how to achieve what you want.  Also rhinoplasty surgeons are not created equally.  There are surgeons who specialize in rhinoplasty more than others.  One thing to realize is that its not how many the surgeon has done, its how many good rhinoplasties they’ve done.  The upturned nose may require lengthening or relative shortening to achieve the look you want.

Thanks for reading, Dr Young

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

This is a question I answered for somone who wanted something natural done for their nasal hump but not much done for the nasal tip:

Rhinoplasty(Or nose shaping / nose reshaping / nose plastic surgery / nose cosmetic surgery / nose job)is a very difficult procedure especially when you need your nasal tip changed.  It is a procedure that takes years to master. I’ve been doing Rhinplasties for 8 years now and have come to respect this procedure.  It is a procedure that you need to continually improve on. Things change and techniques get better and you always need to learn the latest in the new ideas out there.

Nasal hump reduction is on the easier scale when you talk about rhinoplasty as opposed to tip work or reconstructive rhinoplasty. This is based on doing hundreds of rhinoplasties from the simplest to the most complicated including rib graft repair and complex nasal reconstruction type of procedures.  Nasal hump reduction will entail limited intranasal incisions, reduction of the hump with rasps, sometimes direct reduction with scissors, etc, and many times will entail controlled breakages of your nasal bones to readjust the bones to the smaller state.

Really importantly, you want a surgeon to discuss all of these things with you and know what you want. This is perhaps the most important step in rhinoplasty. Knowing what your patients/clients want is more than half the battle. This establishes the goals of this procedure which is essential.  So find somone who is going to listen to you!!

Through Rhinoplasty your appearance can change markedly for the better if done right!

I hope that helps!

Thanks for reading, Dr Young

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

This is a question I answered for someone who had a Rhinoplasty and wondered about the above and whether their nose is infected or not?

The clear drainage is not likely indicative of an infection but the smells that is foul is an indication after Rhinoplasty (Or nose shaping / nose reshaping / nose plastic surgery / nose cosmetic surgery / nose job) .  As long as they didn’t use foreign material for the grafting, your chances are better that this is not an infection.  I would definitely have someone look at this to make sure it is not getting infected.  The upper lateral graft can cause impingement of your internal nasal airway if it wasn’t done in the right way.  Warping can happen to anybody and any surgeon though and this is a risk with ear, or rib grafts.  Septal cartilage is less likely.  There is a possibility of a foreign body as well that was or wasn’t meant to be in there such as suture material, guaze material etc.  In terms of bringing it on yourself, I wouldn’t suggest manipulating the nose in the way that you described unless directed by your doctor.  There are delicate sutures in there that manual pressure, depending on how forceful, can dislodge and create issues such as what you are describing.

I hope this helps!

Thanks for reading, Dr Young

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

This was a question I answered from someone who had his ear cartilage implanted into his nose during a rhinoplasty (nose job / nose cosemetic surgery / nose plastic surgeyr / nose reshaping / nose shaping) for a broken nose when he was young that reabsorbed over a year.

That wouldn’t be my top choice. This product will get absorbed and might have a potential for an allergic reaction. The manufacturers state that the implant is eventually replaced with your collagen.  I think that this needs to be further proven.  My position on new products is that I let others make the mistakes with it first and then I’ll use it if it has proven itself over 5-10 years time and has shown a strong safety record.  Because you have had previous implants with yourown ear cartilage I would suggest that you might want to think about rib grafts . Cranial bone grafts are an option but they are considered by many to be too firm in the nose and have a variable absorption rate.  A rib graft does have a significant commitment associated with it that you would need to accept.  An alternative would be a silicone implant that is a better option with your first surgery but less so the more revisions you have. I wouldn’t consider an implant after the first revision.  The risks of infection goes up. But possibly for the second revision if you really didn’t want a rib graft.

Thanks for reading, Dr Young

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