Rhinoplasty: Q&A
Ask a QuestionI Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result? (photo)
I had closed rhinoplasty 6 months ago to remove a dorsal hump (see photo) by rasping top and sides. I'm very unhappy with the results so far as my dorsal hump is still showing. What kind of changes should I still expect? Am I stuck with this hump or will it absorb? Also does the area above the tip still look swollen? I would appreciate any advice, as I'm very depressed about my surgery results. My surgeons knows my concerns but he's just protecting his work. I'd like another opinion please.
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19 Doctor Answers |
Asked by
Joany123
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Unhappy with rhinoplasty result 6 months after surgery
At 6 months, your results from a closed rhinoplasty are pretty stable. Based on your photos, revision certainly seems necessary to improve the result and address your concerns.
In a secondary case I would do it in an open fashion with a general take down of the dorsum, particularly to deal with the step off at the proximal third of the dorsum. The tip needs to be elevated slightly to improve the angel between your lip and columella and also you need a better transition...
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I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result?
You may be nearing the final results at 6 months post Rhinoplasty but you may want to ask your Rhinoplasty Surgeon these questions. Since no front view was included, it's difficult to see if residual tip swelling exists or if there is an open roof deformity (dorsal hump rasped down without osteotomies to break the nasal bones inward). From the photos, there appears to be some residual dorsal bone above and dorsal cartilage below a centrally placed indentation. The...
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6 Month Result after Closed Rhinoplasty
You do have significant improvement compared to your pre-op appearance, but I do understand your concerns. Although you will wit another 3-6 months I do feel you will have a slight residual hump and a small polly beak which will necessitate a revision. Minimal refinement will give you an excellent result.
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Rhinoplasty revision.
You should discuss the result with your surgeon since I don't know what was said before surgery. Your result won't change much and I'm guessing you will need a revision. See an experienced revision rhinoplasty surgeon for a second opinion before proceeding.
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Unhappy with rhinoplasty results
I believe that your result may be improved. I would recommend you wait at least 1 year after the original surgery before doing a revision. This will allow for the majority of edema to resolve. Donald R. Nunn MD Atlanta Plastic Surgeon.
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I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result? (photo)
Agree you will need a revision and 6 months is the minimum time to wait but I recommend at least 2 to 4 more months.
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Rhinoplasty revision
When I assess patients for dorsal hump removal before surgery I measure the amount in millimeters to remove and how much of the hump is cartilage vs. bone. Sometimes it's 50:50 other times it more cartilage or bone. The reason is because I need to know how much to remove at surgery and the bone responds better to rasping or filing than the cartilage. I cut the required amount of cartilage off and then extend this upward to get the required amount of bone out. Your before photo shows the...
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Los Angeles Plastic Surgeon
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Rhinoplasty, Nose syrgery
By this time, 6 months after rhinoplasty, your swelling has subsided and more drastic improvement should not be expected. Even though your dorsal hump is moderately reduced, there is room to have more reduction, and to achieve more balanced profile. This is not a very difficult procedure and more pleasing result could be achieved with relatively short period of recovery time.
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Irregular Nasal Dorsum after Closed Rhinoplasty
Dear Rhinoplasty Patient,
I reviewed your nasal profile pictures and it appears that there is insufficient dorsal reduction. The cartilaginous portion of nasal septum at supratip area is still high and there remains some excess bony nasal bone on top. This has created a dorsal irregularity and dip in the middle of your nose. Your may want to wait another six months and have a revision rhinoplasty. I recommend an open rhinoplasty to correct this problem. Just in case you’re hesitant...
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Rhinoplasty
If you are unhappy with your results, I would give it another six months before considering a rhinoplasty. Certainly improving the profile is possible, and you may want to address the tip as well.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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