Rhinoplasty: Q&A

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Nasal Bridge Getting Worse

I had septorhinoplasty 2 years ago, including correction of a prominent hump on the bridge. The bridge has seemed pretty straight since the operation, but over the last 2 weeks seems more irregular, prominent and the overlying skin looks whitish like it's been stretched, & I can palpate an irregular bridge again. I've had a couple of minor knocks recently (nothing major, no pain). Could this just be swelling disappearing and revealing irregularities underneath? Or something more going on? Thanks

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5 Doctor Answers | Asked by Naresh

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Rhinoplasty Result Changes with Time

A prominent plastic surgeon in Mexico has been able to photograph his rhinoplasty patients up to 20 years of follow-up, and the nose does change with time (very minor but noticeable). What you are experiencing is normal and is a result of the healing process. If the changes are palpable but not visible, I would not recommend any more surgery, as the same process will start again!

Changes 2 years after rhinoplasty

As your rhinoplasty matures there are late changes that can present as long as two years after your procedure. It sounds like you may be a candidate for a small revision, perhaps something as simple as placing a small amount of graft material (biologic mesh or a small skin graft) under the skin to cover the irregular dorsal contour. As long as the nose has not collapsed (saddle nose deformity) you should be able to fix this without too much risk.

The nose keeps on changing

After rhinoplasty your nose will likely continue to change for the rest of your life. That said, the vast majority of that change occurs intially and it is a very slow pace that is nearly imperceptible after a few years. It is possible that as scarring continues, the "shrink-wrap effect" is taking place that makes slight imperfections palpable or noticeable. If you can't see it (can only feel it), then I would leave it alone. If you begin to see a... more

Colin Pero, MD

4 reviews

Dallas Facial Plastic Surgeon

www.drpero.com

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Bridge

As the nose heals, the skin will thin out and irregular bones will become palpable. This may also be an exposed graft. In any case, it depends on how you look not what you feel.

David A. Bray, Sr., MD

6 reviews

Los Angeles Facial Plastic Surgeon

drbray.com

Rhinoplasty; Long Term Changes

One of the most difficult parts of performing rhinoplasty is anticipating the long term changes that will occur. Although we like to think of the results as being fairly stable, in reality, the nose continues to change slowly over the years. It is doubtful that swelling persisted for two years but it is possible that a camoflauge graft resorbed to reveal the underlying irregularities. It is impossible to know exactly what is happening without an examination. You... more

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