Revision Rhinoplasty: Q&A
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Do I Need a Revision Rhinoplasty? (photo)
Hello Doctors and thank you for your help. 8 months ago I had an open rhino:my Dr. shaved the bump,refined tip and put alloderm on the dorsum.As of today I still have a bump and I am disappointed as I think my surgeon was too conservative.The options he is giving me (at the 12th month) are: get a revision or get a filler(that I believe will make my nose look bigger).Which way should I go?Also I would like to ask: do you think a revision is necessary or after all ''my nose looks good''? Thanks
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10 Doctor Answers |
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NaturalMe
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Do I need a revision rhinoplasty?
With rhinoplasty, less can be more. Being conservative with surgery is better than being aggressive, as it is much easier to perform a touch up to produce the desired result than it is to reverse the effects of an overdone surgery. I would be cautious when attempting to do improve the appearance of a bump with fillers. There are some risks from attempting to modify the appearance of the nose using filler, which is also known as a non-surgical rhinoplasty. The most serious side effect...
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Charlotte Facial Plastic Surgeon
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Do you Need a Revision Rhinoplasty
Dear Natural Me, I would wait the twelve month period for all of your swelling to completely dissipate and at that time assess your happiness with your result. At one year post surgery I would then further discuss your options with your surgeon. Best regards, Michael V. Elam, M.D.
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Need for Revision Rhinoplasty?
Only you can decide if a revision is necessary. If you want additional reduction surgery would be necessary. I don't see an indication for fillers in the pictures you submitted.
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Revision rhinoplasty
Your new nose looks very nice but I do see the residual small bump. In my opinion, if you want to revise it, I would just shave the small bump and be done. Good luck.
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Factors influencing someone to have revision rhinoplasty
Dear NaturalMe
Thanks for the photographs. To answer your last question: Yes I agree with you that your nose "looks good", so it is entirely up to you.
The decision to move forward with additional procedures is based on the same reasons you sought a rhinoplasty in the first place.
Weigh the risks of additional procedures with your desired outcome in a short list, then compare and discuss with your surgeon.
Best Wishes
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Do I Need a Revision Rhinoplasty?
Based upon your photos and comments the ultimate choice is yours. It seems you are bothered by the residual bump on the bridge. I would tend to prefer re-contouring the nasal bridge surgically since you probably want it reduced some. However fillers can camouflage the bump, although temporarily. Doctors vary as to when the will venture back into an operated nose. In your case is reasonable to wait it out a full year if the surgeon feels there is still some degree of swelling present....
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Bump Following Rhinoplasty Surgery
Your nose definitely shows an improvement overall. That being said, you will continue to evolve as time goes on and might even see more improvement. I would be patient and wait another 6 months before considering a revision rhinoplasty procedure. Even a slight amount of residual swelling in the tissues can make a visible difference in the appearance of the nose. Keep in mind, this is a game of millimeters.
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Revision Rhinoplasty
Hello,
Thank you for including photographs with your question. The decision to pursue revision rhinoplasty is entirely dependent on your goals for the procedure. The patients that tend to be the happiest after rhinoplasty are the ones who have specific complaints about features with which they are unhappy.
If you are only concerned with a small bump on the bridge of your nose your surgeon presented 2 acceptable options. A small amount of filler...
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Revision Rhinoplasty
The decision for revising any surgery will depend on how satisfied the patient is.
You are asking a group of experts that can find many faults, the question is there any thig that bothers you not what bothers some one else.
Baltimore Plastic Surgeon
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Do I need a revision rhinoplasty?
Thank you for the question and the before and after pictures. Although the shape of your nose after surgery is good, I still see the bump that you mentation. Your surgeon did use alloderm for the dorsum which over time tend to slowly resorb and gets thinner. This may improve the shape of the dorsum. I agree with your surgeon; wait for another four months or even longer. If the bump persist then get a revision rhinoplasty. I don't think filler is a good long term option. Best wishes.
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