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Will an In-office Tweaking to Correct Rhinoplasty Asymmetry Interfere with a Possible Future Revision Rhinoplasty?

At a 6-wk check-up, my doc said 1 side of my nasal bridge looks more "hollow" & the other side has a bump. He blamed nasal bones and their "memory" of where they used to be. He said they must have moved a bit, & told me to press (hard enough that it is uncomfortable) for 5 min, 3 X a day, on the side that seems to have more of a bump. He also said at @ 6mos that we may need to use filler for the "hollow" side and shave some of the bone. Is this routine? Should I let this guy touch my nose again?

Doctor Answers (5)

Should I let "this guy" touch my nose again?

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 I have performed Rhinoplasty for over 20 years and from the last statement "should I let this guy touch my nose again" it appears that you may no longer have confidence in your Rhinoplasty surgeon.  IMHO, it's always best to try and work things out with your plastic and cosmetic surgeon both mentally and financially.  

 Things happen after all surgery, including Rhinoplasty, and as long as your surgeon has the willingness, experience and skill to make your nose more attractive...why not let him.  However, both you and the surgeon must still have mutual respect for each other or things will most liekly not work out IMHO.


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Office tweaking

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I think you need to meet with your surgeon and discuss what you are trying to achieve here. Smoothing a bump is simple and ususally definitive for that type of problem. Using filler to balance asymmetry is something that will need to be repeated over and over again. It also sounds like your nose is still changing so I'd recommend waitng at least 9-12 months before doing anything.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Rhinoplasty Asymmetry

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Hi,

Im not sure the asymmetry will change over time even with pressure or massage. You may need a formal revision rhinoplasty to correct the asymmetry. Seek a second and even third opinion.

Best,

Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 220 reviews

Revision after rhinoplasty

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First of all, if you are satisifed with the result don't listen to what your doctor says.  The primary goal of cosmetic surgery is to satisfy the patient, not the doctor.  If there is something you notice and don't like it is important to bring it to your surgeon's attention. 

If there is a problem with your bridge that bothers you, it is unlikely that pressure and massage will change it.  Adjusting the nasal bones can be done in the office or the surgical suite.  Be sure to get another opinion (or ignore the whole thing if you are happy with the way it looks).

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.