Sacramento Revision Rhinoplasty doctors
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Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
6633 Coyle Ave Suite 2, Carmichael |
15 answers | |
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Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
2521 Stockton Blvd Suite 6206, Sacramento |
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12 answers |
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Chase Lay, MD
Bay Area Facial Plastic Surgeon
10050 Bubb Road Suite #1, Cupertino |
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10 answers |
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Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon
631 Fulton Avenue, Sacramento |
4 answers | |
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Reginald Rice, MD
Sacramento Facial Plastic Surgeon
4300 Golden Center Dr Suite D, Placerville |
2 answers |
Recent Answers
It's been 6 months since my first Rhinoplasty and due to unsatisfactory results, I'm considering going in for a second Rhinoplasty. I know for a fact the Doctor jarred up and refrigerated the removed cartilage, but will he be able to reuse it or will he have to remove cartilage from my ear to perform the surgery? Thanks for taking the time to read my post, I'm looking forward to your response!
Dear Eamr83
The use of cartilage for grafting in a revision surgery usually comes from your own septum (if anything was left), ear cartilage or your rib, depending on what is needed.
Using banked cartilage is not a common practice.
Best Wishes.
I am only a few weeks out of a open rhinoplasty. My result is everything I ask my surgeon not to do! At this point I no longer trust him to be objective. Can I start seeking a 2nd opinion from other doctors soon? I know I must wait a full year for a revision but want to be proactive during this time and seek hope that things can be improved. My doctor says the shape of things are what I can expect to see in the future and I am not very swollen at all.Thank you for your time:)
A few weeks is far too early. The stress and concern you feel is common but trust your surgeon for now. However, can you be proactive about your result and a potential revision? Sure. I would take good, consistent photos of yourself every two weeks and then look at the series after two months. You'll be surprised how much your nose will change. It will continue to evolve and change it's look for about 6 to 9 months. I can be difficult but be patient.
Rhinpolasty/septoplasty in 2002 (closed). Surgeon used the "camoflaging," technique whereby the deviation is not corrected per se, but merely hidden through use of spreader grafts. I'm very upset that this was done because (1) the underlying problem was not addressed and (2) it looks bad in photos because the nose bridge was naturally made wider due to the use of grafts. I want to get a revision surgery to get septum fixed structurally (not smoke and mirrors BS) and bridge narrowed...thoughts
It's a shame the spreaders didn't work, often times they do quite well but I see a couple of things in your nose. I think your nasal bones needed to be shifted to the right slightly by way of osteotomies and the septum reconstructed or spreaders placed. In any case, this time around make sure the slight slant of the nasal bones is addressed and I'd go ahead with the open septal reconstruction. I see you're in New York. There's many excellent rhinoplasty surgeons there but the absolute king of this kind of work to me would be Dean Toriumi in Chicago, IL. Best of luck. Chase Lay, MD
