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Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 243880


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English




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Ask An Expert > Alexander Rivkin Message Board > Can an opturned nose after rhinoplasty be corrected? (with pics)
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User photo for: ta17
ta17
nyc, NY
Can an opturned nose after rhinoplasty be corrected? (with pics)
I had a nose job done 12 months ago, so it will come down in time, as my surgeon told me didn't work. Now i'm stuck with pig like nose that is not even and I'm frustrated.

What can be done to correct it? Do I need another surgery or correction with silicons?

It's really round, bulbous and too short compared to my long face.

Thank you.

Attached Media

Photo:

front

Photo:

left side

Photo:

right side




profilesbeverlyhills
Facial plastic surgeon
West Hollywood, CA
United States
View My Professional Profile
Avoid silicone but this can be fixed with surgery  December 21, 2010 10:02 AM

Dear Ta17,

We understand how hard it is to have to think about going through surgery again, but in the big picture it would make sense to get this corrected so that you no longer do not have to think about your nose. We would strongly advise you against silicone injections.

As to surgery, it looks like your tip is both over rotated as well as still over projected- sticking out slightly too far from your face. These two things can be brought back into better balance and you can be left with a beautiful nose that goes along with all of your other features.

If you have any other questions please feel free to contact us,
Regards,
Peyman Solieman, MD


docpichler
Plastic surgeon
sacramento, CA
United States
View My Professional Profile
upturned nose  December 21, 2010 12:11 PM

Thank you for attaching the pix, that is really helpful. 12 months is a pretty good time to evaluate the results of the rhinoplasty although it may change some in the next few months. You do have a bulbous tip, slightly excess projection (protrusion) and excessive elevation (upturn). Unfortunately all these would have to be addressed with secondary surgery. To correct the upturn you actually need lengthening of the nose which may require some cartilage grafting. These procedures are more complicated and you should consult with more than one surgeon, especially those specializing in revision rhinoplasty. Good luck.


ta17
  December 21, 2010 3:04 PM

Will I really need grafts make my nose come down? Will it look too plastic after? Because right now even though I'm hating it, it doesn't look like typical nose that you can say is 'plastic' and also it looks to th left, will it be corrected as well. I'm very scared.


DrAthre
Plastic surgeon
Webster, TX
United States
View My Professional Profile
Fixing an upturned nose is possible.  December 21, 2010 3:10 PM

You were right to wait 12 months. But, you are right that you should see the result 12 months after surgery. We specialize in revision rhinoplasty, and you might want to consider seeing someone who does. Mopst likely, the septum is too short causing the upturned appearance. I also agree with your remark regarding the lack of tip definition. I disagree whole heartedly with injecting silicone or adding any silicone implants. Based oin your pictures, I feel that your surgery be done with cartilage grafts. There is a good chance that the cartilage may be able to be harvested from the inside of your nose. Otherwise, we might have to make an incision behing one of your ears and use a small amount of ear cartilage. This will not affect the look or shape of your ear. If you have questions, please call us. we do phone/video consultations all the time.

Attached Media

Photo:

before revision rhino

Photo:

after revision rhino with ear cartilage



docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  December 22, 2010 4:02 AM

Seek in person evaluation with expert in revisional rhinoplasty. Not silicone. From MIAMI Dr. Darryl J. Blinski


drpearlman
Plastic surgeon
New York, NY
United States
View My Professional Profile
Upturned noses can be fixed  December 22, 2010 5:46 AM

From the photos, it is obvious you are a very attractive lady. Your upturned nose can be corrected by using grafts of your own cartilage in revision rhinoplasty. I commend you on waitintg a year. That is how long you should wait before entertaining revision surgery. As for exact details on how to do this, a personal exam is necessary since the status of the rest of your nose is important to determine how best to reconstruct your nose. Absolutely do not use silicone to repair your nose.
For more information on revision rhinoplasty please visit www.revisionrhinoplastyny.com


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Consider Non Surgical Correction  December 23, 2010 10:38 AM

Revision surgery is certainly an option for your situation. However, it is, as my colleagues have pointed out, a complicated and expensive procedure. A large portion of my Injection Rhinoplasty practice consists of non surgical correction of unfortunate results from surgical rhinoplasty. Sometimes a few well placed injections of a filler like Radiesse (temporary) or Artefill (permanent) can correct the kinds of issues that you are noticing. Filler injection cannot fix all problems, but it can raise and better define your bridge. This will make the tip become more symmetric to the rest of the nose and not look as bulbous. It will also make the nose look less upturned on the profile and straighter on the front view.
Check out my website for before and after images: http://westsidemedicalspa.com/before_after_nose.html
Happy Holidays!


drnassif
Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
Revision Rhinoplasty  December 26, 2010 8:25 AM

Hello,

To correct an upturned nose from previous surgery, revision rhinoplasty surgery would be necessary. During a revision rhinoplasty, your other concerns may be addressed as well. I am a revision rhinoplasty specialist located in Beverly Hills, California and have a great deal of experience performing revision rhinoplasty surgery. Please visit my website at www.rhinoplastyspecialist.com to view before and after photos of revision rhinoplasty surgeries I have performed. In addition, Please feel free to call my office at 310 275 2467 if you wish to schedule a consultation. Thank you, and best of luck to you.

Dr. Nassif


roland66
Non-Surgical nose-job  January 23, 2011 1:46 PM

Hi Dr. Rivkin, I am in San Francisco and I just got a non-surgical rhinoplasty yesterday. It looked really nice when I stepped out of the office but the next day I looked at it, the hump was slightly bigger from swelling. Will it look great again after the swelling goes down? How long should I wait before maybe getting a touch-up? I really like the way it looked the day of it. If all goes well in a few days, what are my options for something more permanant? I've seen a lot of amazing results online from Silicone 1000 and other permanant fillers. And how long should I wait? Restylane was the filler of choice and should last maybe six months. Can u recommend someone up here in SF that is great with permanant fillers?




 



 

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