Can You Rasp Nose After Ear Cartilage Has Been Placed on Profile?

asked 6 months ago by j in cali in San Francisco, CA
Latest answer by Richard W. Fleming, MD
Question viewed 227 times
Tags: 2 weeks post-op, cartilage, final result, rasp

I had a revision rhinoplasty with ear cartilage added to profile and the length extended to correct all the irregularities. It has been 12 days since the surgery and my nose is HUGE and it looks more like a roman nose than a straight nose. If I have a revision is it possible to rasp the nose down with ear cartilage on it? Also, does the nose get that much bigger from cartilage layed on it. What are the dimensions of a nose. It seems to me the surgeon did not give me a nose that fit my face

9 answers to Can You Rasp Nose After Ear Cartilage Has Been Placed on Profile?

Can You Rasp Nose After Ear Cartilage Has Been Placed on Profile?

First, let me say that at 12 days you may be panicked for no reason as swelling could make the nasal bridge go down in the next month or so. However, if the ear graft is too large causing the nasal hump, it's not something that can be rasped down like nasal bone. Ear cartilage is curved, so in order to make it relatively flat, it has to be folded on itself and it's consistency is too soft to rasp. It would need to be removed completely, at 6 months, after the... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Rasping Cartilage to Decrease Profile Fullness

At 12 days after your revision rhinoplasty, it is impossible for you to evaluate your final result. I the profile too full 6-9 months from now cartilage rasps are available to reduce the size of the ear cartilage grafts which were placed to augment your profile. Your nose does not presently fit your face - this will change as you go through the healing process.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

How long after a revision rhinoplasty does it take for swelling to subside?

What you are experiencing is a normal post revision rhinoplasty anxiety. Swelling after a revision rhinoplasty with grafts can last for up to a year. You are in early stages of healing process. About three months after your procedure, you should see clear improvements. Long-term results can take up to a year or more to be appreciated. This is the hardest part for the revision rhinoplasty patients to accept, because it takes patience. Give it time and follow up closely... more

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

Rhinoplasty post-op

Your nose may look larger jsut after surgery because of swelling. You have to give it several months to settle down. If ultimately you want it lowered, you more than likely will need the cartilage graft on the dorsum taken down. Bone rasps will not work well on this.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rasping ear cartilage.

You need to be more patient. At 12 days you are going to be very swollen and you should not be so critical that you are already talking about further revision surgery. You need to wait at least 6 months to make a judgement.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

How early can I have revision rhinoplasty

Hi J in Cali, Be patient, likely your surgeon put cartilage in that was slightly larger than needed which is normal. I often do the same because that graft will not stay that size and shape. Give it time, things will look very different in the weeks and months to come. Check with your surgeon. I am sure things will settle in. If it's still concerning in a few weeks see your surgeon or another surgeon to give you some guidance. Best of luck and... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

Assessment of the nasal bridge following revision rhinoplasty

Thanks for the question. At 12 days out, it is very early in the healing process after revision rhinoplasty and there is quite a bit of swelling which will dissipate over the next several weeks to months. Do not fret at this point as you have a long way to go. A good rule of thumb is to wait around 9-12 months before considering revision rhinoplasty. At that point, if you feel the nasal bridge is too high, the cartilage which has been placed can be shaved down or removed and replaced,... more

Umang Mehta, MD
Bay Area Facial Plastic Surgeon

www.mehtaplasticsurgery.com

Rhinoplasty revision

It is still very early to think of revision surgery. For rhinoplasty wait 6-12 months before considering any revision

Samir Shureih, MD
Baltimore Plastic Surgeon

Revising bridge after ear cartilage graft placement

An ear cartilage graft on the bridge can be revised though rasping may not work as well as directly shaving down the cartilage. I would suggest you wait before pursuing this option, though, since you're not even 2 weeks from surgery. Your nose would be expected to look quite big from the swelling this early on.