4 months post op from primary rhino/septo surgery. Hump removed, nostrils made smaller, tip refined. Bridge of nose is now wider & looks crooked. Issues 1.) Bone on right side is pushed up toward my eye causing a shadow. 2.) Skin on right side is sunken in and airway completely restricted creating an dent in middle right side. Right side looks pinched. 3.) Left side bone is curving out. 4.) Nostrils different sizes. What is going on? Can it be fixed? Will it get better or worse over time?
Answer: Concerns after Rhinoplasty It is difficult to answer all of your questions with looking and feeling your nose. With just the pictures, I will do my best to answer your questions.First, the nose will continue to change over the first year. It will look different over the next 8 months. It may look better, worse, or the same. It is impossible to predict.In reviewing your pictures, it appears that you may not have adequate support of the middle aspect of the nose. It is called an inverted v. This can cause the nose to look crooked and wide. This can be repaired during surgery by adding support by cartilage grafting. The grafts are called spreader grafts.The narrowing in the middle aspect of your nose can cause nasal obstruction. This could would be relieved by spreader grafts as previously mentioned.The pinch on the tip would like need to be corrected with cartilage grafting as well. Typically, lateral crural strut grafts work best in this area.I would be patient and see how your nose heals. I would see a revision rhinoplasty specialist about 10 months after your initial surgery to start the process if you are considering additional surgery. I would get your operative reports from you rhinoplasty doctor and take with you during a consultation.I hope this helps.
Helpful 1 person found this helpful
Answer: Concerns after Rhinoplasty It is difficult to answer all of your questions with looking and feeling your nose. With just the pictures, I will do my best to answer your questions.First, the nose will continue to change over the first year. It will look different over the next 8 months. It may look better, worse, or the same. It is impossible to predict.In reviewing your pictures, it appears that you may not have adequate support of the middle aspect of the nose. It is called an inverted v. This can cause the nose to look crooked and wide. This can be repaired during surgery by adding support by cartilage grafting. The grafts are called spreader grafts.The narrowing in the middle aspect of your nose can cause nasal obstruction. This could would be relieved by spreader grafts as previously mentioned.The pinch on the tip would like need to be corrected with cartilage grafting as well. Typically, lateral crural strut grafts work best in this area.I would be patient and see how your nose heals. I would see a revision rhinoplasty specialist about 10 months after your initial surgery to start the process if you are considering additional surgery. I would get your operative reports from you rhinoplasty doctor and take with you during a consultation.I hope this helps.
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March 31, 2016
Answer: Depending on your examination, you may be a candidate for osteotomies to narrow your nose on front view. It's impossible to judge swelling in your photos. Everyone is swollen four months postoperative, but most of the remaining swelling is typically in the tip. That said, I have seen narrowing of nasal appearances over the course of a year.If your bridge is still wide in two to three months and is continuing to bother you, repeating osteotomies could be considered depending on your examination. That could potentially improve the indentation on your right bridge.Your tip looks nice, and slight asymmetries may be from swelling.Hope this is helpful for you.Dr Joseph
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March 31, 2016
Answer: Depending on your examination, you may be a candidate for osteotomies to narrow your nose on front view. It's impossible to judge swelling in your photos. Everyone is swollen four months postoperative, but most of the remaining swelling is typically in the tip. That said, I have seen narrowing of nasal appearances over the course of a year.If your bridge is still wide in two to three months and is continuing to bother you, repeating osteotomies could be considered depending on your examination. That could potentially improve the indentation on your right bridge.Your tip looks nice, and slight asymmetries may be from swelling.Hope this is helpful for you.Dr Joseph
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March 31, 2016
Answer: 4 months post op. some advices: Thank you very much for enquire.It's too early to make value judgments with only 4 months after a rhinoplasty.Swelling after a rhinoplasty depends of the surgery complexity.In this regard, the nasal swelling Post-op It can last from two weeks to two months.To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.Kind regards, Dr. Emmanuel Mallol Cotes.-
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March 31, 2016
Answer: 4 months post op. some advices: Thank you very much for enquire.It's too early to make value judgments with only 4 months after a rhinoplasty.Swelling after a rhinoplasty depends of the surgery complexity.In this regard, the nasal swelling Post-op It can last from two weeks to two months.To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.Kind regards, Dr. Emmanuel Mallol Cotes.-
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March 31, 2016
Answer: Post-operative concerns It appears you had quite a number of elements of your nasal she changed during your primary rhinoplasty. You would definitely still have some swelling in the middle third and tip area. The width of the upper third (bony component) of your nose may not appear as narrow as your pre-operative photographs long term.When a large dorsal hump is removed generally spreader grafts are indicated to add support to the mid-third and prevent any collapse at the junction of the bones and cartilage in that area over the years. This can sometimes add a little extra width to that area. I suspect your first surgeon felt these were necessary. I would recommend waiting 12 months to allow for more swelling to resolve. If you are not happy with the width of the nose in the upper third the bones can be re-shaped at that stage and any slight asymmetries from the healing process addressed.
Helpful 1 person found this helpful
March 31, 2016
Answer: Post-operative concerns It appears you had quite a number of elements of your nasal she changed during your primary rhinoplasty. You would definitely still have some swelling in the middle third and tip area. The width of the upper third (bony component) of your nose may not appear as narrow as your pre-operative photographs long term.When a large dorsal hump is removed generally spreader grafts are indicated to add support to the mid-third and prevent any collapse at the junction of the bones and cartilage in that area over the years. This can sometimes add a little extra width to that area. I suspect your first surgeon felt these were necessary. I would recommend waiting 12 months to allow for more swelling to resolve. If you are not happy with the width of the nose in the upper third the bones can be re-shaped at that stage and any slight asymmetries from the healing process addressed.
Helpful 1 person found this helpful
April 1, 2016
Answer: Wide Bridge. Do I have an open roof deformity from my primary Rhinoplasty surgery? Any insight is greatly appreciated! There is MUCH more than just an 'open roof'. But you can try non surgical filler rhinoplasty now to give a more refined appearance. This HA filler injection would need to be done on a 9 month basis. Or a secondary surgical revision surgery in a few more months.
Helpful
April 1, 2016
Answer: Wide Bridge. Do I have an open roof deformity from my primary Rhinoplasty surgery? Any insight is greatly appreciated! There is MUCH more than just an 'open roof'. But you can try non surgical filler rhinoplasty now to give a more refined appearance. This HA filler injection would need to be done on a 9 month basis. Or a secondary surgical revision surgery in a few more months.
Helpful
