Revision Rhinoplasty: Q&A

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Can the Width of the Nasal Bones Change After Osteotomy/rhinoplasty?

I just removed the cast from a revision rhinoplasty I had last week. I got it because my nasal bones were very wide since they had only been rasped and not fractured. So far, I love the results! I want to ask you if it is possible for the bones going back to their original position afterwards. I'm afraid of this happening because I love the way my nose looks now. I also want to ask you if I can remove the dry blood I have inside my nosetrills (I still have the stitches inside).

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3 Doctor Answers | Asked by Marissa Elouard in Mexico

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Shifting of nasal bones

If the fractures were incomplete (green stick) then the bones could shift out again - pressure to push bones back in can help in those instances if suggested by your surgeon

Sam Naficy, MD

84 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Rhinoplasty

Most rhinoplasty surgery involves removing the hump, then fracturing the nasal bones to narrow the bridge and the nasal bones width.It takes about 3 weeks for the bones to heal. Meanwhile they can move and any trauma can shift them

Teh nose has "memory" from its preop form

Yes, it can move, but that is unlikely. One of the reasons for the splint post op is to maintain reasonable pressure on the bony structure, as well as compress the soft tissue to limit swelling. Once the nasal splint is off, the structures stabilize fairly quickly, and then gain strength out for months. In general, there is what we call "memory" to nasal structures that exert some influence during healing. For example, a crooked nose tends to want to... more

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