Treatment Provider

Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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At 2 months post op, the columellar strut is still a source of constant discomfort.

For a short time I thought this issue was improving, but unfortunately that didn't last and now it's worse than ever. It appears that the columellar strut is too long. Talking, chewing, smiling, laughing all make the cartilage graft scrape uncomfortably against the bone above my front teeth. It also gets stuck to the side many times a day and must be manually manipulated back to the center.

This is a constant source of discomfort and annoyance and it's having a major impact on my quality of life. This is particularly true when it comes to my job, which requires me to give frequent presentations. After talking for only a few minutes, the scraping, clicking and resulting pain become unbearable.

Has anyone else experienced this? Any chance it will resolve on its own? I assume I will probably need to have the cartilage shortened, but I want to avoid more surgery if I possibly can.

I added a few before and after pictures.

It's been about 6 weeks since my surgery. I still have a bit of swelling, especially in the tip, and I still have a bit of lingering discoloration under my eyes, but I think my nose is looking pretty good.

My skin is still oilier and rougher looking than normal. I'm glad I'm finally to the point where my nose isn't so sensitive and I can properly wash and exfoliate my face. I've missed my Clarisonic.

it appears that I have Hemosiderin Staining under my eyes.

I've seen no improvement in the bruising under my eyes in the past week and it suddenly occurred to me that it's likely Hemosiderin Staining. I've had this problem every time I've had sclerotherapy on my legs and it lasts a full year every time, but it never occurred to me that this was a possibility with rhinoplasty. Black eyes for a year? I'm not happy about this development.

The good news: the stuffiness, numbness, tingling and movement in my nose is improving every day. It's actually starting to feel like part of my body.

The stiffness/poking/moving columella strut has also improved dramatically. I can only feel it now if i talk a lot or eat something that requires a lot of chewing. I guess it just needed a little time to soften and settle.

Provider Review

Board Certified Facial Plastic Surgeon
22 Old Short Hills Rd., Livingston, New Jersey
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