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Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Yes the grafts are removable, and would essentially be done through an open rhinoplasty technique. However, these always seem unusual at first, and are hard to get used to. I would advise you to not remove it now and wait at least 6 to 8 months before making a decision, because the nostril will look much better over this period of time.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
It is possible to have the remanent turbinates grow larger again to the point of obstructing the nose. This usually happens in the setting of worsening nasal allergies. My first advice would be to see your ENT to further asses and treat this.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
If the incision don't heal properly after surgery, then it will lead to scarring. If there are areas that have not yet healed then they may have to be treated to allow healing first and then a revision can be done if needed. Having said all this, any problem in the nose can be repaired or recosntructed. A thorough exam of the nose and sinuses is needed to asses "the gashes" and the possible polyps.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
The revision rate for rhinoplasty is generally low and dependent on the surgeons expertise and the extent of surgery at the original rhinoplasty. Although the nose cartilage continues to grow our entire life, it does so at a different rate for everyone. Unlike breast surgery and reconstruction, the main force that affects a post rhinplasty nose is scarring under the surface, as opposed to gravity and changes in the skin with aging in the case of breast reconstruction. In the hands of expert rhinoplasty surgeon, collapse of the nose or disfigurement is not going to be an issue. In a majority of people who have undergone rhinoplasty minor changes can be seen over a 10 year period, but it is rare that these slight changes will require revision surgery.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
No, but usually it heals and covers itself up. So if you still have exposed cartilage there must be another problem going on inside of the nose to prevent it from healing, so you should have a visit with a board-certified ENT.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
You need to be sure you can see where the fracture is first. It sounds like the fracture is in the drainage pathway for it to be causing sinus infections. Therefore you should have a CT scan of the sinuses to make sure the opening to the sinus isn't also fractured or closed, because if it is a plastic surgeon cannot fix this you need a board-certified ENT.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Yes, you are more prone to infection in the future as MRSA has a tendency to stay in the nostril. The treatment is to use an antibiotic ointment called bactroban in the nostril for 6 weeks to ensure that the infection really is completely gone.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
If you have had 2 surgeries already you really need to see someone whose expertise is JUST nasal breathing (ie a ear, nose throat doctor) as opposed to a plastic surgeon because you may have a more complex issue than just a septum deviation. For example I have seen a narrowing of the boney structure or the back part of the nose, or potentially even polyps.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
It can change the appearance if your nose is small, or not projected. If the implant is too big it can give the snout like appearence. There will be a lot of swelling but with the appropriate implant there will be no widening.
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
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