Revision Rhinoplasty

Rhinoplasty

Eyelid Surgery

Based on your description, it is quite possible that you did experience a period of reduced blood flow to the skin - what is most important would be an assessment of the health of the nasal skin now. Risk factors in rhinoplasty are taken very seriously since the result of tissue loss can be devastating - and a challenging problem to fix. I would recommend finding a Facial Plastic & Reconstructive Surgeon who specializes in revision rhinoplasty, and have a thorough discussion of the risks that might be specific to your case prior to proceeding with any surgical intervention.

Hello, I am wondering if rhinoplasty is still a possibility for me after I had artefill injected to my nose November 2012 and had tissue ischemia after. After the injection I saw white under the skin (possible the product) and my nose and cheeks progressively turned red the next couple of days. A tiny wound (looked like an ulcer) formed and I saw my PCP for antibiotics. Skin never turned black and redness resolved 1-2 months. Because of this I never had anything done to my face, but am wondering if I am a candidate for rhinoplasty with augmentation as I have an Asian nose.

Permanent nose filler ischemia - is rhinoplasty still a possibility?

The goals of of orbital reconstruction include the restoration of volume, appropriate repositioning of the globe, and prevention of future changes that might lead to vision problems or other issues. Because every trauma is unique, we do our best to account for the anticipated changes that happen with healing following reconstruction. While it is not clear how far out you are from surgery, it appears that you may still be in recovery - in this case, it is typically best to follow your surgeon's instructions and allow the healing process to run its course. Early revision is usually reserved for immediate concerns such as unresolving vision issues, whereas cosmetic concerns can often be more reliably addressed once post-operative swelling has completely resolved. If your concerns persist at 4-6 months out from surgery, I would recommend consulting with a Facial Plastic & Reconstructive Surgeon who could assess you in person and provide a more definitive course of action.

I had orbital reconstruction due to an orbital blowout and 2mm enopthalmos from blunt force trauma. I had a titanium plate put on the medial wall and orbital floor. After surgery my eye looks worse than before and for some reason my lower eyelid is raised and it wasn’t before surgery. I still have 2mm enopthalmos and my eyes are two different shapes and sizes. I’m wondering if a revision surgery would be worth it. My surgeon is telling me “it’s not that bad” but to me it is.

Orbital reconstruction - 2mm enopthalmos and my eyes are two different shapes and sizes. Do I need a revision surgery? (Photos)

Synthetic implants, while often well tolerated, carry the risk of forming a scar capsule and/or seeding with infection even years after their placement. Because of this, immediate replacement with cartilage following their removal does incur some risk, and may lead to unpredictable healing/cosmetic outcomes. I will often remove these in a staged fashion, allowing new scar tissue to form before considering reconstruction with cartilage if needed to obtain the most reliable cosmetic outcome.

I have 1mm goretex on bridge of nose and medpor sewn into septum for support. I would like both of these removed. I am with long term effects of ePTFE in my body. Org. surgeon says he’ll remove them but will not replace with cartilage. Just wait and see what happens. Im worries I’ll get these out, need a third surgery shortly after. which I cannot do financially. Should I replace synthetic implants within ex-plant surgery or hope my body produce enough scar tissue?

Revision options for goretex, medpor removal?

Seth J. Davis, MD

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Otolaryngologists (also called ENTs) specialize in head, neck, and throat surgery, making them qualified to perform functional rhinoplasties and other facial surgeries. Those who have also done a facial plastic fellowship can perform cosmetic facial surgeries.

Otolaryngologist

3 Answers from Board Certified Otolaryngologist Seth J. Davis, MD See Education, Board Certification, and Treatments Offered.

Meet Seth J. Davis, MD, a trusted Board Certified Otolaryngologist. See 3 expert answers, 0 before-and-after photos, credentials, treatments, and 0 real patient reviews. Book a consultation today!

Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, 2022

Facial Plastic and Reconstructive Surgery, Indiana University School of Medicine, 2023

BA, University of Wisconsin–Madison, 2012

MD, Medical College of Wisconsin, 2017

Doctors

California

Palo Alto

Meet Seth J. Davis, MD, a trusted Board Certified Otolaryngologist. See 3 expert answers, before-and-after photos, credentials, treatments, and  real patient reviews. Book a consultation today!

Seth J. Davis, MD

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