Happy New Year Docs! I am 5 months post open rhino/septo.1 month post op a doc pushed my left nasal bone in (my left-your right) - he said the bone had shifted. As swelling slowly went down since, I've been noticing a dent on that same side. Is it an illusion due to tip swelling? or is it dislocation in the upper lateral cartilage? Appreciate responses as my doc lives in a different country. (circle in pic shows the dent and arrow shows where I think tip swelling might cause illusion of dent)
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January 4, 2014
Answer: Is this dent on my nose dislocation of upper lateral cartilage or swelling of tip contour?
You have a really nice result, your surgeon did a great job. Don't think the injury did any damage. After five weeks a rhinoplasty is pretty sturdy. You have some slight asymmetry of your nose which is not unusual since your nose was quite crooked before surgery, but probably...
It is difficult to assess your nose base on limited views. A slightly sloped nose with a supratip break is commonly desired in females. Seeing a plastic surgeon is probably the best way to see if surgery is recommended.
You are correct. Rhinoplasty with sculpting the lower lateral cartilages, elevation of the tip with a septal graft, elevation of the caudal septum, and a alarplasty can create a triangular appearance to the alar rims. It may be more noticeable in noses that are originally wide in the alar base...
