LLC Debulking with out Consent or Desire from Patient Who Specifically Said They Liked Their Nasal Tip?

After septorhinoplasty my result was devastating I complained to my surgeon. In a letter from him, one thing included was debulking left lower cartilage. I didn't want my tip changed My tip changed to asymmetric and much smaller after and I couldn't understand why. At a meeting after my complaint, he said what he meant in letter was that you need to remove a tiny sliver of tip on one side for closed rhinoplasty incision. My question Is is there any truth in this? or is it untrue?

Tags:

Comment on this

2 Doctor Answers | Asked by KAPM in England

Doctor Answers (2)
Community Comments (1)

Rhinoplasty Approach through Intercartilaginous Incisions

When the bony and cartilaginous structures of the nasal skeleton are exposed through a "close rhinoplasty" approach, an incision is made on the inside of the nose between the upper lateral and lower lateral cartilages. This is generally done when dorsal hump reduction is planned. Unless a "cephalic trim" of the lower lateral cartilage, (specifically, the lateral crurae) is planned in addition to the dorsal hump reduction, cartilage is not typically removed. Hope this answers your... more

Closed rhinoplasty surgery

Dear KAPM, There is truth to this, as we make changes to the nose, we notice certain things that need to be done The nose is a three dimensional structure and when we make changes to the profile, it also makes changes to the frontal view Even making the incisions to expose the nose causes changes unless we re-support or do something to the cartilages If it has not been 6 months, you should wait it out until all the healing settles Best regards, Nima Shemirani more

Comments (1)

KAPM 8 Oct 2012

Thank you for your answer. It has confirmed what I thought but obviously couldn't be sure about. Surgery on my crooked nose has had a detrimental effect on my tip and cause other deformities that I didn't have prior. In addition my nose has reverted crooked again. A revision with a different surgeon hasn't corrected my nose, so I am seeking a very experienced capable revision surgeon.

Ask a Question