Member Login

Ask-An-Expert  >   >  Am I asking for ...


Default User Photo
Toronto, Canada

Am I asking for too much?

Hi, I?m a 19 year old male. I broke my nose about 3 years ago and I ended up with a disproportionally large dorsal hump. I was referred to a cosmetic surgeon in order to correct the problem. He made it look like the surgery would be no big deal, and so I went through with it. I was mostly satisfied with the result, however there had been a collapse in one side of the lateral cartilage, causing the other side to protrude unnaturally. At the time I was unaware that the protrusion was caused by a collapse, so when I pointed out the deformity to the doctor, he offered to ?shave off? the ?excess?. He also said that my septum needed to be straighten because it was deviated, and that some excess bone on one side of the dorsal area needed to be filed down. Again, he made it seem like those things were no big deal. So, being naive about rhinoplasties at the time, I went through with the revision. The results seemed to be satisfactory at the first, but after 6 months it became clear that the surgery had created more problems than solved, if any at all. The tip of nose lost support, resulting in it looking droopy. The nose also looks pinched now, which it never did before. At the same time, ?removing the excess bone? was nothing more than scooping out dorsal area a little more. Of course, the collapsed cartilage was not addressed at all, and the deformity caused by it is just as much present now was it was before.

To recap, here are what the problems my nose is facing: collapsed lateral cartilage, pinch, lack of support at the tip and slightly scooped out dorsal area (more on one side than the other), this not mentioning my nose has been operated twice (both times were closed). Is asking to correct all those problems too much? How complex, if possible at all, would such a surgery be? I need an honest answer as to what I can hope for.

Thank you very much,

Doctors/Professionals Only
Regular Users/Non-Professionals
  Notify me when a doctor/professional or regular member answers this question
  Notify me only when a doctor/professional answers this question
Doctor/Professional Answers (1)   


Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
November 29, 2009 6:58 PM


Asking to correct these problems is not too much. You have many issues that need to be addressed, and I would best be able to help you after seeing photos and doing an (more)
Is this answer helpful? 0        0
Login to Vote

Learn more about

Member Comments (1)

new york, NY
United States
  Revision Nasal Surgery and Expectations
October 26, 2009 6:17 AM

It sounds like your problems are unfortunately not so uncommon. I see a lot of patients with deviated noses for both functional and cosmetic failures.

Deviated nasal surgery is by far the most challenging cosmetic operation. There are many factors at play, most notably the septum, which can influence success or failure.

Fortunately it seems that your problems (collapsed lateral cartilage, pinch, lack of support at the tip and slightly scooped out dorsal area ) can potentially be fixed without a major nasal reconstruction. As long as you have defined and resonable goals, then your problems can be addressed. In my hands, I would typically revise a nose like yours closed, assuming the examination does not reveal any major differences from what you are describing.

The dorsal scooping can be helped with a camouflage graft or by rebalancing the overall profile. The collapse can be helped by a spreader or camouflage graft and by straightening the septum if it was not already done. The pinching can also be helped. The exact intervention depends on your examination. The tip drop can be corrected with standard Rhinoplasty techniques for the tip.

Just make sure you seek a surgeon that does a LOT of deviated nasal corrections.

Good luck.



Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.