Case Details – Case 219

Here is an example of a very difficult revision case. The previous base of nose incisions had left her nostrils triangulation shaped which she found very disturbing. If the side walls of the nose attach flatly to the cheek it is an unpleasant appearance and does not appear natural. Improving this is difficult and unfortunately does not always result in sufficient improvement to have made it worth it.

There has been some other improvements to the symmetry off her nose and narrowing off her supratip. The results here illustrate that revision surgery requires reduced expectations as the disturbed anatomy and postoperative scarring limit the degree of improvement compared to a primary rhinoplasty. The best chance for improvement is always the first nose job.

These photos are typical for Dr. Oakley Smith.

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