Can Fascia Be Added Post-op to Hide Asymmetrical Cartilage/grafting in Tip Area? Contraindications? Can It Be Done Under Local?

I'm 6 mos. post-op from an open revision. Dr. said surgery went well but as swelling subsides I am seeing asymmetries AGAIN as my skin is thin. Dr. placed an underlay graft under right tip cartilage plus a sliver of cartilage to balance soft tissue triangle on right. No grafting to the left side.Tip swelling comes and goes t/o the day more on that right side even affecting profile at supra tip.Dr. says give it a year. I'm starting worry.(Previous open sx only minor rasping of upper dorsum.)

Doctor Answers (4)

Asymmetrical Nasal tIP

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Fascia can be used to cover and hide tip irregularities. However, follow your surgeon's advice and wait another 6 months before considering a revision.


Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Can Fascia Be Added Post-op to Hide Asymmetrical Cartilage/grafting in Tip Area? Contraindications? Can It Be Done Under Local?

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 I agree that you should wait a year before considering any further Rhinoplasty procedures.  Fascia is not a cure all as it can dissolve and curl up after placement.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Fascia for Camouflage

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  Fascia can be used for camouflage, but you may need something else after the swelling goes down.  Kenneth Hughes, MD Los Angeles, CA

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Open rhinoplasty revision

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Your doctor is right. Give it a year to heal and for the swelling to settle down before asking for a revision.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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.