A poorly reshaped nose has specific features. The most common feature is a non-fully closed nose bridge, making the nose tip and the nose root look like separate parts. The most common cause of this is excessive removal of the bone on the nose bridge.
Another feature of poor cosmetic nose surgery is an excessively thin nose tip. This is also a consequence of excessive cartilage removal from the nose tip. The cartilage on the nose tip has a very important function, and a certain portion of it has to be left intact.
Sometimes, I encounter completely removed cartilages. In such nose cases, the nose tip looks like pinched with a latch (pinched nose).
Similarly, another feature of a poorly reconstructed nose is an excessively lifted nose tip, causing the interior of the nose to be visible. For ladies, the angle between the tip of the nose and the lip has to be at most 100-110 degrees. For men, this angle may be 90-100 degrees.
For male patients, the nose ridge has to look straight from the side. In a poorly reconstructed nose, the nose ridge may be curved or concave.
The surgeries performed to correct poorly reconstructed noses are called secondary cosmetic nose surgeries, or revision surgeries. The greatest chance of patients in this regard is the first revision surgery.
This surgery has to directly address the problem. Making other corrections or trials other than the revision is risky and may lead to additional surgeries. As the number of revision surgeries increase, the correction becomes technically difficult and the chance of success decreases.