May 12

Rhino Gone Wrong: Anatomy of a Bad Nose Job

Since we focus a large part of our practice on rhinoplasty, we see a lot of patients who are unhappy with their previous rhinoplasty result and would love for us to fix it. So, a big percentage of the rhinoplasties we do are revisions or re-do procedures. Over the years, we’ve seen a lot of the same problems and complaints coming up, especially when it comes to rhinoplasties that were meant to make the nose smaller. Most of these problems are from technical errors that are preventable.

We thought we’d let you in on the 10 most frequent rhinoplasty problems we see and give you an explanation of why these happen. Check out the photo below to get a first-hand view of a rhinoplasty gone wrong.

Poor rhinoplasty result lateral view poor rhinoplasty result front view

You can call these the 10 deadly sins of rhinoplasty:

  • bony over-reduction (scooped out bridge)
  • pollybeak deformity
  • tip knuckling (bossae) or asymmetry
  • excessive rounding or shortening of the tip
  • a hanging columella
  • alar (nostril) retraction or flaring
  • persistently over-projected tip
  • nasal valve collapse (inverted V deformity)
  • open roof deformity or bridge irregularities
  • a crooked or twisted nose

These terms probably don’t mean much to you now, but we’ll try to give you a brief and easy-to-understand description of each of these in the posts that follow.

Many of the problems such as these encountered during a revision rhinoplasty can be fixed and your nose can be made to look a lot better. But, it is obviously far better to avoid them in the first place. It is so much harder to get a great result from a revision than to do it right the first time around. So, be sure to see a rhinoplasty expert for your new nose.

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