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?

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5 Doctor Answers | Asked by tryingtofindmyself in Sarasota, FL

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You appear to have an acceptable Rhinoplasty result 7 weeks post-op.

I read your concerns and reviewed your photos. The indentation you're describing is barely visible on the left side of your bridge. And you don't have an unsightly wide appearance of your bridge on front view that could indicate that your nasal bones have shifted outward. You appear to have a lot of tip swelling which takes the longest to resolve. Your profile-bump should continue to improve as swelling continues to resolve. You don't have a horrible nose job only 7 weeks... more

Eric M. Joseph, MD

198 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

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

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... more

Revision after rhinoplasty

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... more

Office tweaking

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

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Rhinoplasty Asymmetry

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.