I had an open rhinoseptoplasthy 2 months ago, I noticed a change in the width of my nose and my columnella seems to be shorter, My PS told me that he placed a suture in the footplate to prevent a hanging columnella. When I smile my upper lip looks flat with more teeth exposure, and when not smiling mi nose looks narrower.Can this be reverted? my doctor says he can cut the suture in 1 month.Is this possible? How complicated will this procedure be? what changes will occur to my lip and nose?
Is It Possible to Remove a Suture Fixation from the Medial Crural Feet?
Doctor Answers (6)
Suture Fixation from the Medial Crural
Yes and No.
You can remove it but at this stage the cartilage has already healed in that position, so even if you remove the suture the cartilage will not change position.
To change position, you may need a tip rhinoplasty revision.
Removing Suture Fixation of the Nasal Tip
It is easy to remove the suture. However carefully discuss the effect of that maneuver with your surgeon. Make sure he/she understands what you want to achieve.
Correcting Medial Crural Deformities
Your PS is correct, the suture can easily be cut in on month to release the fixation. Although, after reviewing you photos, I do not think that is all that will be needed to achieve your goals. I suggest you get a second opinion from an expert in revision rhinoplasty, as these subtle changes which you are looking for will require expert experience..... Good Luck....Dr. Corrado
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Cutting suture in medial crura.
Yes, this can be done in a month, but I don't think you will have the nose that you want based on the photo. You should discuss this with your surgeon and then get a second opinion from an experienced revision rhinoplasty surgeon.
Undoing suture fixation of the medial crural footplates with (nose job) rhinoplasty
Some of the changes you describe are attributable to swelling at this point in time. The suture can be easily cut and may not even require an incision (needle release).