Revision Rhinoplasty: Q&A
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Botched, Butchered Nose Need Revision Info Please? (photo)
Unforunately I got butchered by an ENT. he used the tongue and groove. I think I have alar retraction on the left and right.I will probably need bilateral composite grafts. I want the sutures from the tongue and groove removed and my tip derotated slight. I want D-C fascia for the birdge bcause probably half of the height is chopped off this butcher. further i want deep temp fascia for dents on sidewals. I am very depressed its been 4 months. what else needs to be done to reach the goal pic?
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5 Doctor Answers |
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from Holland
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Revision Rhinoplasty
I agree that a revision will be necessary. However wait another 6 months before having more surgery. Your columella can be elevated and the nostril margins lowered with cartilage grafts. Rather than requesting specific surgical techniques consult with a revision specialist to discuss alternative approaches.
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Revision rhinoplasty
I agree that butchered is a strong word. Also, don't blame the techniques used, blame the surgeon (if anything). The main issue I see is alar retraction. This might require composite grafts to fix, depending on what the internal nasal lining tissue looks like. You have more of a "pseudo hanging columella" than anything. There may be a slight actual hanging columella, but the main issue is alar retraction. I also agree with you that your bridge is somewhat...
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Revison Rhinoplasty
Hi,
I do see the collumelar show and the alar retraction, I dont think its botched and butchered. However, you can get a revision rhinoplasty to correct these things. I l dont think you'll look like the soccer player though.
Best,
DrS
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First off there is nothing "butchered" looking or "botched" looking about your nose. Yes it is not a great nose and yes you have alar retraction and septal show and a few other issues but no one can judge the results of a rhinoplasty without seeing your pre-op or starting pics. This may be a pretty good results or it may be a very poor result but it all depends on where your nose started off before your surgery. Also, your nose may be much worse in person than these...
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Washington DC Facial Plastic Surgeon
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Tongue in groove, composite grafts, in dice cartilage fascia wrap in revision rhinoplasty
You've already described a pretty reasonable surgical plan. The tongue-in-groove technique itself is probably not to be blamed. You do have a hanging columella, and an appropriately placed suture could elevate it into a position more like your goal picture. Otherwise, composites, DCF, tip counterrotation, and fascia for irregularities sound like reasonable preoperative plans.
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