Revision Rhinoplasty Q&A
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Revision Rhinoplasty Using One Nostril Only?

asked 1 year ago by W_DC in DC
Latest answer by Sam Naficy, MD
Question viewed 137 times
Tags: nostrils, technique, tip

I've had my first rhinoplasty over 6 months ago. During the healing process my tip downturned so I went for a revision. My doctor performed the revision rhinoplasty using one nostril only. Why was that? Was it to avoid extra scarring on the other nostril? Or because there was no necessity to use both of them for the surgery? I had a small bump on the end of the nasal bone and a downturned tip. Thanks

4 answers to Revision Rhinoplasty Using One Nostril Only?

+2

Revision rhinoplasty using one nostril

     I suspect that during the healing process after your first surgery, you've lost some some tip support and dorsal septal height which are structurally crucial to the external shape of your nose. This can happen when the septal cartilage is weakened from excessive over-resection during surgery or trauma or both. The cartilage may also reabsorb due to unrecognized septal hematoma or an infection.  It may take several months or even years until these structural... more
Joseph Shvidler, MD

Tacoma Facial Plastic Surgeon
+1

Revision through one nostril

With what are describing it sounds like you needed (and hopefully received) a columellar strut graft - this can be placed through an incision on just one side.
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Revision rhinoplasty

Dear W_DC, This question would be best answered by your surgeon.  My guess is that he felt that the asymmetry was best treated by revising one side.  It sounds like he is on "your team" and wants to make you happy.  If you have any questions about a procedure, I am sure your surgeon would be happy to answer them. As plastic surgeons, our priorities lie in making our patients happy and feel like they are being taken care of.  So, if you have questions, or... more
Nima Shemirani, MD

Beverly Hills Facial Plastic Surgeon
+1

Revision Rhinoplasty

It is difficult to say what exact procedure you had done by the description. If I were to guess I would state that your physician must have felt that the deformity that you had was treatable through a small unilateral incision. I would go back to your surgeon and discuss your concerns and hopefully he/she can answer those questions for you. Best regards!
Michael Elam, MD

Orange County Facial Plastic Surgeon

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