Revision rhinoplasty healing takes time but their are options

Steven H. Dayan, MD answers: Revision augmentation rhinoploasty problems

Had a revision with rib graft in bridge and columella 5 months ago. Nose is very hard and looks almost triangle shape. It looks big and high for my face (this is a change than on first reveal). I hope the bone will shrink some, do i still have swelling? Also I have alar base scars like stitch holes. How can i resolve this. It is upsetting.


Steven H. Dayan, MD
6 months ago

Following revision rhinoplasty the healing period can be long and ardous especially if a rib graft was used. It is not uncommon to still have swelling at 5 months. But be assured your nose will continue to shrink and soften with time. Ask your physician if he or she thinks a steroid injection would help. Occassionally this can accelerate the shrinkage of the nose especially if paper tape is applied after wards and kept on at night specifically. The alar base scars should also become better camouflaged with time. You may want to consider a fractionated laser treatment to reduce their appearance. I know this can be difficult time period but try your best to not get too anxious. If after a year you are not still satisfied you can consider another revision. Although going through another procedure is not ideal an overbuilt nose can be shaved down and made smaller through a closed approach. Good luck

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