I had a revision rhinoplasty 9 months ago and my results vary. The center bridge to between my eyes is crooked (alignment is off) but the middle to tip are straight! Can this be corrected via closed rhinoplasty because I do not want to go through all the swelling and recovery again? Or do I have to have open because its the upper bridge and you have to do things all over?
Answer: Endonasal rhinoplasty for revisions It's likely that you can stil address your concern through an endonasal approach. The nose is divided basicly into thirds, with the upper third comprised of your nasal bones. If the lower two third (septum, and tip) are straight, you most likely need to remobilized the bones. Those osteotomies are part of most rhinoplasties, and should be effective in straightening your final result.
Helpful 1 person found this helpful
Answer: Endonasal rhinoplasty for revisions It's likely that you can stil address your concern through an endonasal approach. The nose is divided basicly into thirds, with the upper third comprised of your nasal bones. If the lower two third (septum, and tip) are straight, you most likely need to remobilized the bones. Those osteotomies are part of most rhinoplasties, and should be effective in straightening your final result.
Helpful 1 person found this helpful
Answer: Correcting a crooked bridge with closed rhinoplasty
Helpful
Answer: Correcting a crooked bridge with closed rhinoplasty
Helpful
April 27, 2010
Answer: Closed Rhinoplasty for Revisional Rhinoplasty I love Closed Rhinoplasties and I use it for almost 99% of all Rhinoplasties. The upper third of the nose is controlled by osteotomies and fracture of the boney base. I usually use a 3 mm ostetome from the internal approach and a 2 mm osteotome from an external approach. One has t make sure that you have a good fracture and not a greenstick that can end up back where it came from leading to a crooked appearing nose in the upper third.
Helpful
April 27, 2010
Answer: Closed Rhinoplasty for Revisional Rhinoplasty I love Closed Rhinoplasties and I use it for almost 99% of all Rhinoplasties. The upper third of the nose is controlled by osteotomies and fracture of the boney base. I usually use a 3 mm ostetome from the internal approach and a 2 mm osteotome from an external approach. One has t make sure that you have a good fracture and not a greenstick that can end up back where it came from leading to a crooked appearing nose in the upper third.
Helpful
April 24, 2010
Answer: Limited revision rhinoplasty To answer your question if the tip of your nose is satisfactory as is the middle third of your nose, it may be entirely possible to do a closed approach and just do osteotomies to narrow and straighten the upper third of your nose. Typically, work on the upper third does not require an open approach unless you need grafting or additional work done to the rest of your nose. This is a general statement but I hope this information helps.
Helpful
April 24, 2010
Answer: Limited revision rhinoplasty To answer your question if the tip of your nose is satisfactory as is the middle third of your nose, it may be entirely possible to do a closed approach and just do osteotomies to narrow and straighten the upper third of your nose. Typically, work on the upper third does not require an open approach unless you need grafting or additional work done to the rest of your nose. This is a general statement but I hope this information helps.
Helpful
April 25, 2010
Answer: Closed rhinoplasty approach for correction of the irregular bony dorsum It is difficult to answer this question without seeing you, but I would say that there is certainly a chance that your bone irregularities can be fixed without completely opening the nose again. Occasionally grafts may have been placed in this area that could have moved during healing. This would have to be known prior to attempting this correction. As always, it is best to see the surgeon who last operated on your nose and have a drank discussion about what can be done to optimize your revision rhinoplasty result.
Helpful
April 25, 2010
Answer: Closed rhinoplasty approach for correction of the irregular bony dorsum It is difficult to answer this question without seeing you, but I would say that there is certainly a chance that your bone irregularities can be fixed without completely opening the nose again. Occasionally grafts may have been placed in this area that could have moved during healing. This would have to be known prior to attempting this correction. As always, it is best to see the surgeon who last operated on your nose and have a drank discussion about what can be done to optimize your revision rhinoplasty result.
Helpful
