Revision Rhinoplasty: Q&A
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Revision Rhino for Scarred Columella
Im planning to have revision rhino n was advised by the Dr.V & was advised rib cartilage.I have scar from previous surgery on my columella(stiches line&keloid at the bottom).Dr.V advised to wait til revision is fully heal to consider scar revision.He will incise at the middle (horizontal) of my columella for the revision.My previous doc. is against rib cartilage&told me that scar in rhinoplasty is normal& some(like me)are more prone to scar.He said incision should be at the bottom as previous.
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9 Doctor Answers |
Asked by
Andread Baka
in Singapore
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Revising columellar incision scar
If you're planning on a revision rhinoplasty procedure it is more standard to use the prior incision and revise the scar at the same time.
Without seeing your nose it's difficult to give a full assessment of this though.
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Choice of incisions with revision
Without seeing your pictures it is very hard to give you accurate advice but , in general, it is common practice to use the existing incisions instead of making new ones.
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Open Rhinoplasty
If a cartilage graft is needed, the Surgeon should use the previous incision because if a more anterior incision is used there is a good possibility that the tissue between the old scan and new incision will die.
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Revision Rhinoplasty with Scarred Columella
With all due respect for your surgeon, I would do the revision surgery through the previous incision and revise the scar at the same time rather than make a new incision.
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Scar at columella
The columella scar usualy heals quite well after rhinoplasty, but I would give it time( at least a year usually) before considering a revision.
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Revision of Columella Scar
Waiting for things to settle down for 6-12 months after any rhinoplasty operation is a good practice. The need for cartilage, rib or other, is often a choice made best by an experienced surgeon in consultation with the patient. Without photos and a more detailed history we can't call that here. A columellar scar after an incision is expected up to a point. It sounds like you have a hypertrophic scar, which may settle down over time. A revision of the scar can be done if indicated after a...
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Revision Rhinoplasty and Scarred Columella
Hello,
I think that it is wise to wait until things are healed prior to performing a revision. I like to wait at least one year before reoperating on a nose, particularly if it is a complicated revision that will require grafting. If restructuring of the nose or augmentation is needed, my personal preference is to use rib cartilage if a lot of tissue is needed and when septal cartilage is not available. i stronly believe this is the best grafting material available to us for revision...
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Keloid on Columella
If I understand your problem correctly, you have a keloid scar on the columella and have lost support for the tip of your nose requiring a rib graft to repair. Waiting at least 6 months after your last rhinoplasty is always good advice. Keloids can be treated in the meantime with steroid injections. You will be at risk for another keloid if you have surgery again, and injection with steroids beginning one week after surgery can be helpful. For support of a collapsed nose with a lack of...
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Burley Facial Plastic Surgeon
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