I recently had revision rhynoplasty only 5 months following my initial rhynoplasty surgery. Within 1 week early scar contracture occurred and I now have a significant scar on the tip of my nose, above my right nostril. I now understand that this occurred because the revision surgery occurred too soon following the initial surgery. This is obviously very distressing for me. What can be done to correct this and I will I suffer other adverse consequences of having the revision surgery too soon?
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August 28, 2021
Answer: Early Revision Rhinoplasty
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Jeffrey H. Spiegel, MDBoard Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Although complications can occur even in the hands of excellent surgeons, rhinoplasty results do depend on the skill and experience of the surgeon. Undetectable spreader grafts can be placed in thin skinned individuals; sometimes fascia is placed over the grafts if necessary.
Before having a revision rhinoplasty, make sure there is nothing else about your nose that concerns you, and that swelling is completely resolved. A spanning suture may help but usually will not bring a dramatic change by itself.
There are a number of techniques that we can use to widen nasal bones. By "out-fracturing" the bones they can be made wider. They can be held out by what are called spreader grafts. These same grafts can also support the airway. Of course this is just one technique. The specific technique you...
