Longview Rhinoplasty doctors
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Michael M. Kim, MD
Portland Facial Plastic Surgeon
3303 SW Bond Avenue Center for Health & Healing, 5th Floor, Portland |
7 answers | |
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Christopher Chung, MD
Longview Plastic Surgeon
625 9th Ave Suite 250, Longview |
Recent Answers
I had a surgery on my nose ala removing basal cell cancer and followed by half nasal reconstruction with forearm flap 2 years ago. Now my half nose greatly deformed due to the shrinkage of flap. I need a further nasal reconstruction with forehead flap by skin extension. Since I am living in Alberta, could you please recommend me a plastic surgeon in region with much experience of nasal reconstruction? Thanks!
I do not personally know him, but Dr. Kal Ansari is a facial plastic surgeon with what seem to be impeccable training credentials. He is in the department of otolaryngology and head and neck surgery at the University of Alberta. Good luck in your search.
Michael Kim, MD
What is the percentage of patients who don't like the final results and have a revision rhinoplasty? What reasons do they mostly have to have another operation?
From the realself data it's 77%. :)
As for the percentage of patients who don't like their results and have revisions?
That is a difficult question to answer with accuracy. The oft-quoted statistic of those who undergo revisions is 15%. I will say that in practices that focus on rhinoplasty, that number is much, much lower. In the low single digits. Therefore, I would go to a surgeon who lists rhinoplasty as their most frequent (or at least top 3) procedure they perform. It's a complex anatomically and functionally and you need to find someone who understands both of those aspects.
Patients undergo revisions for a variety of reasons including poor cosmetic results and poor breathing results. Obviously those things are extremely subjective. I hope that helps.
Michael Kim, MD
I'm a little over 3 weeks post op. I had a big hump removed & the nose narrowed a bit. The nose is feeling a little flat and there are sharp bony edges on each side of the nose. I can't feel a dent in the middle of the nose, but do feel dents on each side of the nose, behind the sharp edges. Profile & front looks good, front does not look wide, but when seen from angles it looks like there is still a hump. Do you think I have an open roof deformity? Or can this still correct itself?
It's difficult to tell if you have an "open roof deformity" from pictures alone. In addition, you may have some postoperative swelling that can obscure and underlying deformity. The narrowing that you speak of likely refers to osteotomies (or bony cuts) that are made in order to prevent an open roof deformity after a large hump removal. Also, sometimes there can be palpable edges of bone after surgery, but are usually well tolerated if they are not visible. I agree that there looks to be a little residual hump on the dorsum in 3/4 view, but it does look rather natural. I would return to your surgeon and have a frank discussion with him or her regarding your concerns.
Michael Kim, MD
