Bad scar after rhinoplasty?

Q: I had an open rhinoplasty 14 months ago. I have a terrible scar. (I have no history of bad scarring and usually heal well). My nose has various other issues as well, and I plan on having a revision in two months with a different surgeon. I was wondering if this scar can be revised during surgery, or if it will only become worse with a revision surgery since the doc has to use my old scar? I plan on asking my surgeon this as well, obviously, but I just wanted other opinions. Thank you! 🙂

A: During your revision rhinoplasty your surgeon can perform a scar revision by excising the old scar. With a meticulous, tension-free closure the appearance of the scar should improve.

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Korea Rhinoplasty. This morning, I cleaned my nostrils with a q-tip and these 2 plastic pieces fell out from my nose.

Q: It’s been 8 months since I got my nose done in Korea, but this morning I cleaned my nostrils with a Q-tip and these 2 plastic pieces fell out from my nose. I’m really freaked out because I don’t know what it is. Please help

A: The best course of action is to touch base with your surgeon to determine how best to care for your nose.  Another option would be to seek in-person examination from a rhinoplasty specialist to ensure your nose is healing as it should.

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Asian ethnicity but given a Caucasian nose post op. Prosthetic looking nose, tip looks like a ball. What should I do?

Q: I’m 10 days post op. I am Asian but live in another country. I had rhino and fat transfer to chin. Yesterday, splint was removed. I was shocked to see a Caucasian nose on my face. Nose tip looks like a clown’s nose, my nostrils too high (pig-like) bridge too elevated-looks like prosthetics. Does the nose tip swell terribly and is at its worst on the first 2 weeks? Will it get slimmer on week 3? Will the nostril drop? Is Asian skin more thick? Will the results start to show 3rd month despite this?

A: This early in your recovery (less than 2 weeks) it is common for the tip of the nose to look like a ball due to all of the swelling.  Asian skin certainly is thicker and does swell more than other ethnicities.  Your nose will continue to change in appearance, and should improve, as it continues to heal and edema resolves.

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I want to remove my silicone implant in my nose that I have done in Thailand. Can I do it in the country I’m at?

Q: Hello I am a 26 Asian male who had Rhinoplasty silicone implant done in Thailand in 2012, what is the name or term for removing it out as I now am planning to decide and remove it and be natural again, can I still do it in the country I’m at? or I would have to travel back to Thailand?

A: It is certainly possible, and maybe even advisable, to have your silicone implant removed and your nose revised elsewhere besides Thailand.  Finding a rhinoplasty specialist experienced in Asian rhinoplasty will be crucial in achieving the best results.  Depending on what changes were made to your nose, returning to natural may or may not be straightforward.

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Nose swelling more than 15 years after Asian rhinoplasty. What’s causing this?

Q: I had an Asian rhinoplasty (not sure Gore-tex or Silicone including nasal tip) more than 15 years ago. No complications until now. About a month ago, the nose swelled up gradually like avatar including eye and subsided after 3 days. Minor swelling and tenderness still remains. I do have allergy lately and skin got better with steroid, but the nose tip is still hard and swollen. Even after massive swelling, there was no redness or exudation. Can it be allergy? If this is allergy how is it treated?

A: 15 years after surgery, the first concern for swelling in the presence of a foreign implant in the nose is infection.  The best course of action is to be evaluated in-person by a rhinoplasty specialist evaluate this possibility and treat it properly.

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Am I a good candidate for Korean jawline surgery and rhinoplasty?

Q: I feel that my nose is too bulbous, large at the sides, not well defined. It makes me look masculine. I also want facial contouring for a more v-shaped face.

A: Refining the tip of your nose and creating more height and projection to the bridge and tip of your nose will make a nice change to your overall appearance.  An in-person evaluation by a specialist in Asian cosmetic surgery will allow you to consider the treatment options for improving the contour of your face.

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What type of surgery will make my nose taller and less squashed? I’m Asian.

Q: What type of surgery will make my nose taller and less squashed? I’m Asian

A: The safest and most permanent way to build up and refine your nose is with Asian rhinoplasty using tissue from your own body.  Using tissue from your own body ensures your nose will age naturally with the rest of your body.

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My nose tip is too high after nose surgery. Will it drop down?

Q: I got a nose job done 1 week ago and my nose tip is too high and looks bad now, will it drop down soon?

A: The tip will definitely lose some projection and some rotation (come down and come towards your face) as your nose heals.  However, if the tip still appears to be over-projected relative to the lack of height in your dorsum (bridge).  Follow up closely with your surgeon to ensure the best results.

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I need a rhinoplasty. I am an Asian male wanting to have a better looking nose.

Q: My alar from sideview is hanging, what procedure needed to fix that? Also in worm’s eye view I am not sure if I need Alarplasty, hope not as I hate scars. I see many photos online with so ugly scars after alarplasty. What technique should my surgeon perform for the scars to be well hidden? Also will my nostrils look narrower even without alarplasty? Will my nostrils can become narrower with sail incision, tiplasty and bridge augmentation? No fillers too pls. Thank you.

A: Your columellar retraction is what is causing the disproportion between your ala and columella.  Pushing down the columella while bringing the alar rim up slightly will improve this discrepancy.

Projecting the tip of the nose will cause the nostrils to look a bit narrower and less flared without alar base modification.

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Self-cartilage augmentation Asian rhinoplasty costs $20,000?

Q: I recently went to a Toronto PS who only specializes in rhinoplasty for a consult. I asked him to 1. Build up the bridge 2. Narrow the tips 3. Have a silicone chin implant put in. He quoted me $10k for using silicone nose implant + chin augmentation, and 20k for using my own cartilage. This is even more expensive than a revision rhinoplasty since my nose is untouched. I wonder what do you guys think in terms of the price? I would prefer to go with my own tissues if possible. Thanks!

A: I feel very strongly that synthetic materials should be not be placed in your nose during Asian rhinoplasty, so my personal feeling is that regardless of price you should not consider that option.

With regards to surgeon fees and the variation amongst surgeons – this will depend on geographical location and the expertise of the surgeon.  While the adage is not always true that you get what you pay for, generally surgeons will not be able to stay in business long if their prices are not in-line with their results.

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