9 months post-op: what revision can be done to make my nose look smaller? (photo)
Doctor Answers 3
What revision is needed?
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Kenneth Hughes, MD
Los Angeles, CA
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At the one year mark after your first surgery , I would recommend rasping the residual hump and augmenting the right side of nose above the tip (cartilaginous vault/upper lateral cartilage) with a cartilage graft harvested from your nasal septum. This can be placed as an onlay graft or spreader graft, choosing the spreader graft option if there are any problems with nasal obstruction on the right side.
A revision rhinoplasty would include rasping down the dorsal hump, insertion of a cartilaginous spreader graft on the patient's right side and osteotomies of the nasal bones to straighten them. For many examples of crooked nose repair in our practice, please see the link below to our rhinoplasty photo gallery