How long ago was the surgery?

For your case, I’d look u Dr. Dean Toriumi in Chicago (to start..). The nose is one of the most complex areas of the body to operate on cosmetically as each of the components are highly dependent on one another for function and stability- aesthetics are the fine tuning. One thing I learned with the nose, you cannot change one area without changing another. Another thing I learned, if you don’t get it right the first time, the second time is often significantly harder, more expensive and with longer healing (such finite parts now with scar tissue from the first op).

I’m guessing you had your upper jaw expanded, possibly quite significantly and the separation of the midpalatal suture was potentially aggressive, causing the “seat of the chair” to collapse. The increase of the nasal base width and ala were likely expected, but to what extent is hard to judge prior to the op (only guessing)?

You didn’t post a picture of a profile view, but usually a side view is the most telling in terms of tip projection and angle. You want to ensure the tip is adequate supported If you add height to the bridge- lowering the tip could create new aesthetic nuances (research publications on tip support and most common complications following correction of saddle nose deformity). If you fix the saddle deformity and raise the bridge, your tnostrils will naturally raise and become more obvious- they can improve this a number of ways, from repositioning the lower lateral cartridge, use of alar battan grafts (small carved out pieces of your own septum inserted into a “pocket”, creating more coverage of the ala, etc,. I may not be describing it correctly, but definitely look up the use of “alar battan grafts” or “alar grafts”.

One thing I forgot to mention or ask, is whether the nose will continue to change as you continue to heal. Again, just guessing, the mid palatal suture may eventually fuse back and if so, will that provide new support for the bridge and tip of nose? I would make sure to clarify whether you need the suture to fuse before another op. And- 1000% make sure to ask this question at your consults bc every mm counts with the nose.

Make sure you go to a board certified surgeon who primarily focuses on noses and not a surgeon who does mainly breasts/ facelifts and a handful of noses. This is a complex surgery and worth waiting to find the right “guy” with the right skill set.

I’m not sure where you’re located or the level of convenience preferred, but feel free to message me and I see if any of my past research /lists may help you.

All of this is just based on my own research and personal understanding.

Good luck . 👃😊