I underwent a rhinoplasty 2 years ago to correct the problems of an accident.

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

Question

I underwent a rhinoplasty 2 years ago to correct the problems of an accident I had as a very young child.

The surgery was to correct a breathing problem (I had been unable to breath out of my nose for many years and suffered from earaches, sore throats and sinus issues) as well as having a hump on the bridge of my nose removed.

In terms of breathing, things are perfect however I was left with a very uneven bridge, too much taken from the left side leaving me with a "scoped out effect". All surgery was done on the NHS and I was put onto a waiting list to have revision surgery. I was told a second operation would be needed as the nose would not hold if it was knocked and that the shape was obviously uneven.

I didn't go back as I was worried about it being a mistake. Can you advise me of anything and whether you think you could help or know of anyone else who could be of help to me?

I have waited 2 years and feel now is the right time to try and correct what happened. I look forward to your response.

Answer

I would imagine it should be possible to achieve an improvement in the contour of the nose and preserve the quality of the airway.

In terms of the exact technique, it depends on your target for the end result, and as such I would typically look at developing the treatment plan for reshaping using computer simulation so that you can highlight the points that you would like corrected. You do have to appreciate however that between the computer imaging and surgical outcome there will be a number of differences.

With regards to the strengths of the nose, as you have understood from your injury in childhood, a more significant trauma will inevitably break it, but the degree of difference between an operated nose and one without any surgeries is relatively small. In addition, there is a significant variation in the strength of the nasal bones between different individuals, so it is almost impossible to establish what is normal strength.

I would be happy to see you in consultation and advise accordingly.

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