Wait until nose is fully healed to decide

William Portuese, MD answers: Adding another layer of autologus material after Revision Rhinoplasty?

I had my Rhinoplasty revision surgery 3 months ago to replace silicone implant with ear cartilage. My surgeon used my septal cartilage and ear cartilage to build my tip, and ear cartilage to augment my bridge. And the problem is, one side of my nostril is slanted while the other straight. And my nose does not look great at all with flat bridge and round nose tip. It was almost perfect to me at one month post op. It seems to me that my nose tip was shortened and more rounded during the healing (or even maybe reabsorption).

I want to add another layer of autologus material over my ear cartilage. Is it necessary to take out the ear cartilage and put it back again? I am afraid by the time when I do the revision surgery, the ear cartilage will already grow firmly with my nose bone and it will be traumatizing to my nose to seperate them by force.

Also, if I were to have a third surgery in future, will it be a danger that my nose is going to collapse? I heard that too many surgeries will make your nose weak and leading to collapse. Since my surgeon has already used my septal cartilage as a base to build my nose tip. Will my nose be prone to collapse? What will be the sign in terms of appearance when the nose is collapsing? Thank you.


William Portuese, MD
4 months ago
By William Portuese, MD - Seattle Facial Plastic Surgeon

As far as collapsing of the nose, this will not occur unless you sustain severe trauma to the nose. Collapsing of the nose will be most evident by a saddle nose deformity, which you obviously do not have at this point. This would show up immediately after the surgery if it were going to occur. I would not recommend removing and replacing any ear cartilage grafts unless they are causing severe problems in the nose because of the extent of revision rhinoplasty work that you have had done. Do not make any judgments on this nose until after one year of full healing, and then consult with your original surgeon.

Web reference: http://www.seattlefacial.com
Helpful?

Request info from Dr. Portuese

50 words maximum (0 words entered)
Your info is protected by our privacy policy
Back to “Adding another layer of autologus material after...”
Post your question
Email to friend
Permalink

Revision rhinoplasty before & after photos

Rhinoplasty and Brow Lift
View all 68 photos

Revision rhinoplasty doctor answers

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.