Is It Normal to Have a Crooked Nose After a Revision Rhinoplasty?

asked 1 year ago by Sharpie
Latest answer by Sam Naficy, MD
Question viewed 265 times
Tags: crooked

I finally had a revision rhinoplasty and the experience with the cast on was perfectly fine. No pain, no bruises, breathing was ok, and no drips. Very different from first. Today cast came off and the nose seems a bit crooked. Doctor said this is normal due to the nose being still swollen. Is this true? He also used silicone to lengthened the nose instead of rib cartilage. Should he have used rib cartilage instead of silicone? How long will it take before my nose looks normal or not crooked?

6 answers to Is It Normal to Have a Crooked Nose After a Revision Rhinoplasty?

Early asymmetry

It is possible that early asymmetry will be caused by swelling - if it doesn't improve after a few weeks then you may need a revision

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Crooked nose after rhinoplasty

It is difficult to evaluate your nose this early after surgery. It will take some time for the swelling to resolve in order to accurately assess the cause of the crooked appearance.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Nose Asymmetry Soon After Surgery

I agree with other comments. Early on, with swelling, it is difficult to judge the final result of your rhinoplasty. I recommend waiting at least 3-6 months.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Crooked Nose Immediately after Rhinoplasty Revision

Temporary asymmetrical swelling may be present when the cast is removed after rhinoplasty. Be patient. Although I prefer to use the patient's own cartilage in revision rhinoplasty, many excellent surgeons will place silicone implants.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty revision

It is too early to judge , there is swelling now wait 6-12 weeks for most of the swelling to resolve. As for using silicone or rib cartillage graft. This must have been discussed before the surgery and both of you agreed as to what material to use. Or did you leave the decision to the surgeon? so he used what he saw most appropriate.

Samir Shureih, MD
Baltimore Plastic Surgeon

Crooked Alignment Following Revision Rhinoplasty

What your plastic surgeon said is correct. In some cases, the nose can indeed look crooked shortly after taking the cast and bandages off. This can be from a variety of factors, including drift of the nasal bones and/or asymmetric soft tissue swelling. In my opinion, I would have tried to avoid using any prosthetic implants (silicone included) in the nose. Instead, I prefer to use the patient's own cartilage - whether that is septum, ear or rib. This is actually a very important... more

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

www.drhilinski.com

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