I have already had one Rhinoplasty procedure and whilst the results were good, I’m still not happy with my nose.

Your questions answered by our surgeon, Lucian Ion, FRCS(Plast)

Asked on 07 December 2010

Question

I have already had one Rhinoplasty procedure and whilst the results were good, I’m still not happy with my nose.

I think it is too long and slightly too wide for my face, and it’s also asymmetrical. I wonder if it’s possible to reduce the strength of the nose, in other words, the distance between my philtrum and the tip of the nose?

This is the area of greatest concern to me.

Answer

In rhinoplasty terms, nasal length refers to the vertical dimensions and nasal projection to how far the tip sticks away from the plane on the face.

Reduction of both of these elements contributes to the impression of a smaller nose, and represents a common feature of many rhinoplasty interventions. It is frequently associated with a reduction in the width of the bridge and tip of the nose, and depending on the need of the base of the nostrils (alar base).

Depending on how much time has passed since your operation, they may still be some swelling that creates the impression that the bridge and tip of the nose are moderately wide, and may continue to improve.

If the internal is longer than a year, the expected further changes are much more limited.

In general terms, at the time of the consultation it is possible to evaluate either on standard photographs or 3-D images what is the end result that you are keen to achieve, which also determines the amount of correction required. Please bear in mind however that there will always be differences between a computer designed image and the results of surgery.

Mr Lucian Ion FRCS(Plast)
129 Harley Street
London
W1G 6BA