I’m 23 and I’ve already had one revision nose job.

Question:
I’m 23 and I’ve already had one revision nose job. It’s not that I’m unhappy with the look of my nose—it’s just begun collapsing. I know that having two surgeries can’t have helped. Is my nose likely to collapse again after my second revision?

Answer:
Noses can collapse after rhinoplasty for various reasons. If there was simply too much normal cartilage removed from the nose during the prior rhinoplasty then the nose can easily collapse. If a normal amount of cartilage was removed during the original rhinoplasty but, the surgeon who performed the original rhinoplasty and the one that performed the revision rhinoplasty did not stabilize the cartilage into its normal anatomical position then the cartilage may shift or collapse. During the revision rhinoplasties that I perform, I use a great deal of spreader grafts, alar grafts, and columella cartilage grafts to stabilize the nose to prevent future collapse. Finally, I use a combination of semi and permanent sutures in order to insure the the cartilagenous grafts stay where I place them.

Posted by Dr. Philip Schoenfeld