Seven years post-primary rhinoplasty for dorsal hump reduction left me with an over-rotated "piggy" tip. A revision using rib cartilage (harvested via 8 cm incision by a thoracic surgeon) provided minimal radix augmentation and no tip improvement. Key questions: Does large incision/non-plastic surgeon suggest technical issues? Can another revision de-rotate the tip and restore a natural profile?Are grafts/tissue expansion viable for reconstruction despite limited skin? Thank you.
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Answers (4)
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Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include nasal tip deprojection and placement of a mastoid fascia tip graft to give a smoother contour to your tip. With good surgical...
Have you surgeon reach out to the company. I've had this happen to one of my patients, and my rep told me that it's been reported to be a potential issue and has given me suggestions about what to do to try to encourage it to dissolve further vs. excising it completely. Your surgeon should be...
There seems to be a separation between the upper third of your nose and the bottom part. That often happens because the nasal bones were not narrowed, but likely they should have been. Then, other views, such as the profile view and the 3/4 views, could tell me whether other changes might be...