Revision Rhinoplasty: Q&A
Ask a Question
Dent On Nose Bridge: Do I Need a Revision Rhinoplasty?
I had a rhinoplasty a year ago next month. All the swelling has gone down. But, now there is a "dent" along the right side of the bridge area. One side is totally smooth then you get to the front/right part of the nose and it curves/veers in. I was wondering the causes of such a thing? It looks great on the outside; it is just the underlying bone structure of that one side that feels very odd. I have no idea what I should do. Should I go and get a second opinion from another doctor?Also, if I do end up getting a revision rhinoplasty would Insurance cover it? I just can’t see why I should have to pay again for my doctor’s mistake. Thank you for all the advice! Yours truly, Deanna
P.S. sorry there is no photo, you can't see it in pictures at all.
Tags:
16 Doctor Answers |
Asked by
Deanna9898
in Tampa, Florida
+2
Revision Rhinoplasty for something you can feel but not see
If you felt your nose prior to your surgery, you might feel some irregularities in the underlying bony-cartilaginous skeleton which are not necessarily visible. The same is true here....if indeed there is no external deformity, there may be no need for revision. You may find that over time (things can change well past 1 year) this may become visible. If so, depending on the severity, something as simple as an injection may be possible, or a minor surgical revision.
Hope this helps,
Dr....
more
+1
Dent in the nose can be felt but not seen
After rhinoplasty, even in the best of hands, there can occasionally be palpable dents or bumps present in the underlying cartilage or bone. From your description, it seems as though this dent is palpable but not visible. If this is the case, I would wait it out and see if over the next several months, the indentation becomes visible. If so, it can be addressed with the placement of a small camouflage cartilage graft or possibly injectable fillers such as Restylane, Juvederm, or...
more
+1
Lump on dorsum after rhinoplasty
The assymetry in your dorsum may be due to swelling or malposition or absence of your cartilage. I would have to examine a patient before making this determination.
You might also like...
Real Stories
Need Yet Another Nose Procedure - Orlando, FL
I am interested in a secondary rhinoplasty. My prior rhinoplasty was performed in 1998 and...
+1
A minor revision might be necessary
Even in the most experienced hands, an approximately 5% revision rate for rhinoplasty exists. You can do a perfect surgery and can sometimes get a slightly imperfect result. It looks like all you would need is a minor revision with a small camouflage graft in this area. Insurance will not cover this since it is a cosmetic issue. You should be able to talk to your original surgeon who would probably cut a great deal for you. remember he wants you to look as...
more
+1
Injectable fillers for post-op dents in the nose
Injectable fillers are a very simple way of correcting dents in the nose. Temporary fillers at first, then permanent filler is a choice between that + revisional surgery.
+1
A month is too early to even start to think about more surgery.
There is still lots of swelling remaining. Perhaps even half the swelling is still there. That isnt to say you may need further work. In Fact sometimes even this early an experienced eye can tell that the final result wont unfortunately be satisfactory. But even then you will need to wait a year before any further surgery should be attempted.
+1
Revision rhinoplasty can help improve the nasal appearance
In general, I like to wait one year before considering a revision procedure. It is generally accepted that in the best of hands a 5-10% revision rate occurs. So if any surgeon states they do not have to perform revision procedures you should question this. See your surgeon and express your concerns, that is the best initial strategy.
+1
When to consider a revision rhinoplasty
After a patient has had a rhinoplasty, a small percentage of patients may choose to further modify their nose or correct in area that they feel was not impressed with the first surgery by receiving a revision rhinoplasty. It is important to only consider the surgery once your nose has fully healed from the first procedure. For this reason, we recommend that patients wait at least 10 months after their surgery before considering a revision. This will allow the swelling to go down and will...
more
+1
Minor revision rhinoplasty
If you are overall pleased with the results of your rhinoplasty but have a few areas of concern such as a mild curvature or some minor depressions, several options include the judicious use of fillers versus morselized or softened cartilage or other similar types of implants. Sometimes these areas can be easily camoflauged with minor procedures as noted above. I would ask your rhinoplasty surgeon about options and then decide which way you would like to go. I hope this information helps....
more
+1
Revision Rhinoplasty for a dent
If you see a depression after a year, it may be something that could be improved. Sometimes, just a filler may be added to smooth the depression. Other times, a revision surgery may be beneficial. Irregularities may frequently be felt after surgery, since the underlying structures have been modified, but they do not need to be treated unless they are visible. As to why - sometimes things just do not heal as planned and additional tweaking may have to be done...
more
+1
May consider injections
For minor dents an depressions you may consider a non-surgical rhinoplasty. it is not as good or permanent as a revision rhinoplasty but it is much less invasive and less expensive.
+1
Revision rhinoplasty.
If you can not see or show us in a photo the dent? Than I would wait 3 months post op to see how you look. Or try a filler in the area.
From MIAMI Dr. B
+1
Need for Revision Rhinoplasty
If your concern is feeing an irregularity in a nose that looks good, I rarely recommend revision surgery. With a visual problem surgery may be helpful. What does your surgeon suggest? A second opinion may be helpful. Rhinoplasty surgery is very challenging. Just because you don't have a perfect result does not mean your surgeon made a mistake.
+1
Getting A Revision Rhinoplasty
Deanna, based on what you describe and the fact that it bothers you, it is reasonable to consider a revision rhinoplasty. It might be that you need cartilage grafting to help reshape the one side of the nose and correct what sounds like is a depression.
I would not be so quick to blame the surgeon though. Yes, this could be a result of poor planning or execution. But even in the best of hands you can end up with this type of outcome following a rhinoplasty procedure. If you have lost trust...
more
+1
Revision Rhinoplasty: Correcting Residual Deformities After Initial Nose Job
Residual deformities following a rhinoplasty can vary in severity. For minor deformities or depressions, a "Non-Surgical Nose Job" using injectible filler substances can help camouflage the problem.
Occasionally, the problems are more pronounced and require additional surgery. Revision (secondary) rhinoplasty is more difficult than primary rhinoplasty and requires more expertise. It is therefore important to select a highly qualified surgeon who is experienced in secondary...
more
+1
Rhinoplasty
I always tell patients that they may feel something irregular under the skin but as long as it doesn't show, it is probably OK. You may be feeling the area where the bones were partially or completely in fractured, but I can;t be sure without examining you. In terms of cost to "fix" this, it is very dependent upon the surgeon.
Comments (0)