I had a successful revision rhinoplasty four months ago. It was overshortened during my primary (upturned and quite short) then lengthened with septum . It looked good and i barely had swelling 10 days after the surgery. i had an accident on the 12th day.i hit my nose hard and it bled. my nose swelled up twice its size. it wasn't before that at all.4 months after the surgery it looks also much shorter- has the graft shifted from the hit or did it become softer and it has nothing to do with my accident ?
Answers (2)
From board-certified doctors and trusted medical professionals
Diced cartilage is a better alternative to rib cartilage as warping could happen with the latter. This procedure is relatively new but done by those who surgeons performing revision rhinoplasty.
It is possible to leave the deviated septum alone. The dorsal hump and poly-beak can be addressed by shaving down the bridge line. A spreader graft will also need to be performed underneath the concave upper lateral cartilage area. For many examples, please see link below
The cartilaginous component of the bridge line is too low in combination with a prominent rhinion which is too high. The bony dorsal hump should be shaved down and the saddle deformity built back up given even profile. Digital computer imaging would be helpful to understand what can be...
