Denver Revision Rhinoplasty doctors
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Paul C. Zwiebel, MD
Denver Plastic Surgeon
2050 East County Line Road, Highlands Ranch |
12 answers | |
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Manish H. Shah, MD
Denver Plastic Surgeon
125 Inverness Drive East Suite 200, Englewood |
12 answers | |
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Mario J. Imola, MD, DDS
Denver Facial Plastic Surgeon
3600 So. Logan St. Suite 100, Englewood |
11 answers | |
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Nick Slenkovich, MD
Denver Plastic Surgeon
761 SouthPark Drive, Littleton |
1 answer | |
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John Squires, MD
Denver Plastic Surgeon
3003 E 3rd Ave Suite 206, Denver |
1 answer |
Recent Answers
I had a nose job a few years back on Harley Street to remove the bump, and I'm largely happy with it. One side of it however, is very slightly bulbous. It only notices from a very specific angle, but bothers me - is there any that can be done?
Rhinoplasty designed to improve an assymetric or crooked nose will generally result in improved symmetry, but a perfectly straight nose is difficult to achieve depending on the situation prior to surgery. From your description, I would assume that the nose was straight and symmetric before surgery. At present the assymetry is most likely due to misaligned bone or cartilage, both of which are correctable. I agree with the other surgeons that good photos or even a direct physical exam are essential before getting into the details of future correction.
Sincerely, Mario J. Imola.
It has been 1 yr & 3 mo. since my revision rhino of which I had my too-big silicone L-shaped implant removed & replaced with ear cartilage. Nose is still very wide & big with no obvious tip. Is it still swelling? It looks worst in mornings. Talked to surgeon & he wasn't very confident it's swelling anymore. I have thick skin & weak cartilages-partial Asian descent. Surgeon advised to gently squeeze nose to reduce swelling. Nothing happened. Would a "NOSE CLIP/HUGGIE" work better? Thanks!
At this point, very little further reduction in swelling will occur. The edema (fluid present between the cells) in the soft tissues of the nose is essentially stabilized. The pressure applied using the nose clip will not have any long term effect when it is removed. Furthermore, the clips carry the risk of possible permanent scarring due to critical lack of blood supply if applied with too great a pressure or for too long. In order to further modify your nose at this point, another revision surgery will likely be necessary which may nor not be worth the risk.
Mario J, Imola, MD, DDS, FRCSC.
When or if I choose to go in for a consultation for a revision rhinoplasty, I would like to know the name of the rhinoplasty technique where the the fatty tissue under the skin of the nostril is thinned out. I am looking for a technique that would create thinner and vertically shorter nostrils which an Alar Base or Weir excision doesn't specifically address. Anyone with more information?
Revision rhinoplasty is frequently complicated by thickening of the skin and soft tissue envelope by scar. Scarring occurs in the subcutaneous fatty layer below the skin surface and results in a heavy, poorly defined or "amorphous" appearance. This can affect the nasal tip as well as the nostrils. A common maouver when performing revision rhinoplasty in this setting is to carefully thin the scarred fatty layer. This maouver is commonly referred to as defatting and carries the risk of permanent dimpling, irregularities or focal skin death if done too aggresively. Such a procedure can be used to thin the nostrils but will not shorten them. In ortder to vertically shorten the nostils it will be necessary to set the tip back and remove a segment of the nostrils at the alar base.
Mario J imola, MD, DDS, FRCSC.
