I had a bump removed on the left side of my nosebridge (see pic 1). It is now almost 7 months post up. I now have a very thick portion just above my tip,I think it is pollybeak deformity, Also i believe that my docter shaved down my nosebridge too much as my side profile looks pretty feminent now. I also believe my right nostrill has become larger as a result of the surgery. Pic 4 basically sums up all the problems i have with my side profile and everything that i want to correct. Should i show him this?
Rhinoplasty Question. Had Bump Removed On Left Side of Bridge and Now Have Thickness Above the Tip? (photo)
Doctor Answers 4
Dorsal Resection Issues after Rhinoplasty
The issue with the dorsum may be remedied if the same issue is present at one year. With regard to the right nostril issues, this would be impossible to evaluate without preoperative pictures. Kenneth Hughes, MD Los Angeles, CA
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Fixing a Bad Rhinoplasty Requires a Unique Skill Set and Precise Grafting Techniques To Restore A Natural And Beautiful Result
In my opinion, an expert level rhinoplasty is always performed in a closed technique and ALWAYS involves grafting to add to the structural integrity of the nose. The act of opening the nose even under the closed technique causes healing and some contraction, thus for a long term beautiful result the nose must be left more structurally sound than it was found. This is missed upon most rhinoplasty surgeons.
In secondary cases such as yours it is even more crucial that sound grafting techniques are used. It sounds like at a minimum you will need bilateral spreader grafts, alar struts and a columellar strut but a complete L-strut should be considered and harvesting a small bit of rib cartilage may be necessary depending on your findings. I Definitely do not consider any rhinoplasty procedure that does not include grafting preferably by an experienced Plastic and reconstructive training with ddition fellowship level craniofacial and aesthetic training. Of course this is my bias because it is my training but I think this level of training is very necessary for success in secondary and tertiary rhinoplasty because there is delicate nuance involved and every patient requires different maneuvers. I hope this helps!
All the best,
Rian A. Maercks M.D.
Revision rhinoplasty issues
If I were you I would go over my concerns with your surgeon. The nose looks like it was overtreated and may need revision to "build it up."
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Revision rhinoplasty for the overdone nose.
Revision rhinoplasty for the overdone nose in your case involves building up the bridge with your own septal cartilage and correcting your polybeak and adequately supporting your tip. You can see many examples of this on my website under revision rhinoplasty results over the past 35 years.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.