Revision Rhinoplasty: Q&A
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Revision Rhinoplasty - Can Doctor Return Tip to Original Length?
I'm getting a revision soon and just had a few questions. A bump came back so im getting that filed down and then the rest of the bridge filed down just a tiny bit more. My tip looks like it was shortened but my doctor said all the cartilage is still there he just put sutures in to bring it back and up a little.So if he were to take out the sutures would by tip go back to its original length?if so would it not be in proportion with everything else? And is this hard to do?
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7 Doctor Answers |
Asked by
unhappygal
in milwaukee/san francisco
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Restoring tip shape
Removing sutures alone may not return your tip to its original shape since scar tissue often holds the cartilages in position
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Revision rhinoplasty
The revision rhinoplasty operation is a very difficult operation. Filing down any irregularities across the bridge is often straightforward and easy to do. It is important not to take sutures out of the cartilages or the tip because scar contraction forces could alter the nasal tip cartilages. The nasal bridge and tip must be balanced with one another.
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Return Tip to Original Position
If NO cartilage was removed from the tip or the septum the tip can be de-rotated to its original position with removal of the sutures. It may not be exact, but very close.
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Revision Rhinoplasty - Can Doctor Return Tip to Original Length?
Regarding: "Revision Rhinoplasty - Can Doctor Return Tip to Original Length?
I'm getting a revision soon and just had a few questions. A bump came back so im getting that filed down and then the rest of the bridge filed down just a tiny bit more. My tip looks like it was shortened but my doctor said all the cartilage is still there he just put sutures in to bring it back and up a little.So if he were to take out the sutures would by tip go back to its original length?if so...
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Revision rhinoplasty
This is hard to say, all this is very patient specific as is most revision rhinoplasty work. It may be possible to remove tethering sutures and have the nose settle back to near where it was. But scar tissue may prevent this. My suggestion is to see a surgeon with great experience in revision rhinoplasty work, and most are not, as this is usually more complicated work
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Revision rhinoplasty
With reference to your tip, the sutures that were placed in all likelihood have dissolved if they were absorbable sutures. Without seeing your original photos or your new tip it would be hard to say what could be accomplished.
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Revision Rhinoplasty
The sutures can be removed and the scar created by the original surgery has to be released. There are no guarantees the nose will go back to it's preoperative condition.
New scar is going to form and that will affect the shape of the nose up to one year after the surgery.
Baltimore Plastic Surgeon
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