I am over 1 year Post Op (Septo-rhinoplasty) and as you can see I am left with a very bad scar along my columella. There are also some symmetry issues with the alignment of the columella and inner nostrils. This can be seen from the 3/4 view as well as the profile. It looks as if the upper part of the columella is slightly lower than the bottom part of the columella, so the two sections do not sit flush. Can this be fixed with just a simple scar revision, or would cartilage need to be placed in the lower section of the columella? Additionally, I would greatly appreciate if anyone could tell me if they have seen this issue before. Kind regards, M
I had my revision rhinoplasty 6 months ago, mainly due to fixing my front profile ( issues mainly symmetry and shape) and also wanted to improve my side. I have ended up with symmetry which is worse and just so much unevenness, I also now have this cartilage that pokes out above my nostril. I made a morph, I want to know if this is possible and what issues I have now?
Hi Doctors! Just after an opinion really. I broke the bridge of my nose when I was 10, and had a primary rhino at 16 to fix the hump on my nose. I was young and didnt really look into options at that age much. Anyway, 15 years later I decided to have an alar base reduction, it seemed like a a small procedure just done under LA. Sadly, it left me with a deviated septum and my nose appeared even more crooked. It started to really affect my confidence and breathing. I then went to an ENT specialist who suggested I have a septorhinoplasty with a rib graft, with minor cosmetic touch ups (nose was dropping and bridge was not smooth).Its now been 14 months since the operation and I feel I am fine breathing wise but my nose looks so large. My surgeon is advising me to wait a little longer for residual swelling g to go down but it feels like bone to me and the nose tip looks fuller. Is it possible to get another revision done, is it advisable? I am now at a point in life where I am dodging friends/ photos etc. any advice would be helpful
Three years ago I underwent the following procedure to increase air resistance on the right side of the nose: Right-sided hemitransfixion incision. Elevation of the mucoperichondrium, only on the right side. A couple of cartilage grafts were inserted at the anterior portion of the septum. Closure of the hemitransfixion incision. Unfortunately, since the surgery I have been experiencing persistent pain in an area of the right septum. In that same spot, the mucosa appears thinner and at times I can even see part of the implant underneath. For this reason, I would like to consider removal of the cartilage grafts. I would appreciate your opinion on the following: 1) Is this a difficult operation? 2) Could removal of the grafts further damage the nasal mucosa? 3) Is there a risk that removal could create scarring? 4) Is there a risk that removal might worsen nasal dryness? 5) Is it likely that the grafts have adhered to the septum making removal more complicated? Thank you very much for your time and advice.
I had a rhinoplasty in 2021 to shave down a large bump as I had a very ethnic nose. Post surgery I noticed that there was a dip in the left side of my nose and bone that was still large or gave a bump look, as well as a curved appearance to the left. In 2023, I went back in for a revision rhinoplasty in which the bumps were further shaved down and a crushed cartilage graft was placed in the dip of the left side. I am now 2 years post op and have noticed that the curvature has not gone away from both the bridge and tip of my nose. I went into my plastic surgery office to see what my options were and my doctor suggested an in office procedure where he would shave the right side of my nose as he believes that is what is given the curved/crooked look. Should I move forward with the in office procedure or look to another doing another revision operation? I am very unsure of what to do in this situation as I never anticipated that 4 years after my initial procedure, I would still be dealing with the appearance of my nose. What are your recommendations?
I had a revision rhinoplasty ( 3 rd one) 16 months ago. I just wanted my tip less bulbous and less rotated ( picture 1 ). After 3 months my nose was very swollen , so the surgeon decided to give me a Kenalog shot. Picture 2 is before the kenalog shot, picture 3 is after. It dramatically reduced the oedema , but it left me with a deformed nose. 16 months post op my nose formed scarred tissue again , so now it looks swollen and crooked. I had no trauma to the nose post op, no infection. Also my right nasal valve collapsed. The doctor did put spreader grafts and a tip graft from my septum.Could the Kenalog have done so much damage? Or it is just bad healing and poor surgical technique? Shoud I have another revision now or try to camouflage the nose with make up and wait for the surgery until the other nose valve collapses ?
I had my rhinoplasty completed in 2021 In Philadelphia. I am no longer in the same area as my surgeon, but I am not 100% happy with my results. The break in my dorsal aesthetic lines is only very noticable in certain lighting, but I am not happy with the appearance. I also now have uneven nostrils and did not have that before. Am I being unrealistic about my expectations for my results?
Hello, I got a rhinoplasty in November of 2023. It has healed nicely, but there is a slight bulge on the left side of my nose. When I push it, I can breathe better out of the right nostril. It feels like the cartilage moves, but once the pressure is gone it goes back. I can breathe out of both nostrils semi decently, but I notice I tend to half smile to flare my right nostril to get a full breath constantly. Its left uneven smile lines since I do it so much. I am thinking about revision options, or other alternatives to help the breathing on this side. It is extremely bothersome. What do you think happened here, and how would I describe this to a plastic surgeon? Thanks in advance!
Hi, I had a primary rhinoplasty about a year ago by a specialists - Im not satified with the result as the nose looks more diviated from the front now than it had been before the surgery. The surgeon did remove the hump. The top of the root of the bridge is uneven -and sticking out somewhat - it is higher on one side than the other which adds to the diviated appearance. The original surgeon claimed that it would be too risky to shave it down there would be a high danger that the cartilage could separate from the bone resulting in an inverted V deformity. When I consulted another surgeon, he said, it could be done on a local anaesthetic without any risk of this happening, and that it would lessen the divination a substantial amount. Who to believe - I would be very grateful for any opinions/ comments from professionals. Thank you very much. Both surgeons are well-known in their field. Kind regards