I am interested in a complex revision rhino with Dr Shah

  • charlie78
  • scotland
  • 1 year ago

I am desperately needing my nose fixed. It's ruining my life, happiness and confidence.  I had an email back from Dr Shah today but I dont know what it means. It says'   Hi Charlene Thanks for sending the pictures.  Here are my thoughts regarding your nose which is limited by the quality of the photographs and not seeing you in person: This is to serve as help in our upcoming skype call.  Thanks  Anil Shah Step off between the nasal bones and the middle vault of the nose (the dip you are referring to).  This in your case can be a result of collapse of the upper lateral cartilage. 

In some cases, the upper lateral cartilage has been overly resected which can make its replacement difficult.  The solution to this problem is the placement of spreader grafts along the bridge of your nose.  Thin skin along bridge of nose:  The addition of either perichondrium or fascia can be helpful to create a smoother bridge Deviated caudal septum.  A caudal septoplasty either repositioning or anchoring to spine of nose or using an alternate graft to provide a more functional airway and straighter nose. Asymmetric nostrils and columella- Improve septal alignment with graft to improve alar retraction bilateral Asymmetric nasal tip- Improve symmetry of lower lateral cartilage remnants and consider additional support if necessary Grafting Material-  Likely would need rib if this is 4th? rhinoplasty and nose deficient in cartilage.   What does fascia/grafts and spreaders do and mean??? Will my nose ever look normal with all this in it?    Also does anyone have any reviews good or bad on Dr Shah   Thanks so much 

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I honestly don't know where you are getting the idea that there is some sort of "scam" surrounding Dr. Shah. As far as the information above, he has given you the surgical terms for the potential problems you described. I had a primary rhinoplasty performed by him and although I did not need a rib graft I had a number of procedures including spreader grafts (which are used to reconstruct the internal nasal valve if it is narrow for example. It is possible to have many components to a rhinoplasty and look fine. Obviously a revision surgery is more complex but it will likely always involve multiple steps. As far as the surgeon, you need to meet with them and decide if you are comfortable with their plan and your expectations, knowing that there is no such thing as a "perfect" result. And no I do not work for Anil Shah.
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Hi, I had a revision rhinoplasty with Dr. Shah and he used cartilage grafts. The grafts are made of tissue from your own body and they help him reshape your nose, especially if a previous rhinoplasty removed too much cartilage. For me the graft made a pretty big improvement compared to my first rhinoplasty; feel free to look at my review/pics.
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Thank you. I will have a look. :(

I am getting really down with all this now. x
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Hi there,

Here's more information for you about spreader grafts. Here's what some doctors have to say about rib grafts. (I had an ear graft myself, and it worked pretty well). And here's Dr. Shah's profile on RealSelf. He has many reviews on the site.

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