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What is this lump on radix 4 years after revision rhinoplasty?

breezlyNov 10, 2018
Since revision rhinoplasty 4 years ago my radix is much higher and narrower with a visible deviated lump (hard like bone). I want it straighter and lower. My surgeon says lump is callus. Consulted with 3 other surgeons who thought it was a radix graft. No mention of osteotomies in operation report. Surgeon says he didn't do them. Can you please provide opinions on what is going on with my radix and if rasping is the best solution? If it’s a calcified graft, does it need removing or just rasping?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Gabriel F. Santiago, MD
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Dr. Gabriel F. Santiago, MD
Board Certified Otolaryngologist
4.0 | 12 Reviews
Answered on Jan 8, 2019
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Dr. Shahriar Mabourakh, MD, FACS
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Dr. Shahriar Mabourakh, MD, FACS
Board Certified Plastic Surgeon
4.8 | 465 Reviews
Answered on Nov 12, 2018
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Sam Rizk, MD

Hello, thank you for sharing your question and photos. I'm sorry you've experienced this. You're still very early in the recovery process after your rhinoplasty, full healing can take over a year. In my experience, it's best to wait until surgical swelling and trauma swelling has reduced more....

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Jacob Sedgh, MD

It is less common of a goal in revision rhinoplasty to try lengthen the nose or decrease the rotation of the tip .However, this can be accomplished most effectively with a technique called caudal septal extension graft which gives the surgeon a powerful tool to control the final position of the...

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P. Daniel Ward, MD

Batten grafts can definitely be placed under local anesthesia and they should stay in place permanently. 

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Callum Faris, MD

Thank you for your question. It is still a little early at 6 months to tell the final result following a revision rhinoplasty as swelling settles slower in revision cases. In order to comment more you would need to provide lateral and basal views with preoperative images. You...

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Boris M. Ackerman, MD

Closed rhinoplasty is an excellent method for some revision surgeries. Closed rhinoplasty is practiced by only a few experienced and skilled rhinoplasty surgeons. In your particular case, you should consider allowing more time for things to settle, as you could very well end up liking your result. 

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