Hello, I had surgery September 12th 2018. I was born with a cleft lip and palate and I recently just had a rhinoplasty. My biggest concern was that my nose dipped down and I had a dorsal hump. I'm happy with the results so far except my dorsal hump is still there!! Does this look like swelling or calloused... What do I do about it?! I'll post before and after pics. Also when he first took the splint off it looked straight and now not so much...
October 19, 2018
Answer: Dorsal Hump Give it some more time. You already seem on the fence for it so regardless wait a bit to determine if its something you want to do more about. That being said I like to categorize revisions into two categories: major and minor. A major revision is one in which we have to put you back to sleep and open your nose and most importantly the recovery starts over again. Deviation, breathing and tip issues are general examples of this. Leaving too much dorsum, like in your case, I would consider minor as that can easily be done with some local anesthetic and a quick shave in MOST circumstances. That being said if your surgeon took off TOO much the problem is much more difficult to solve. Good luck!
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October 19, 2018
Answer: Dorsal Hump Give it some more time. You already seem on the fence for it so regardless wait a bit to determine if its something you want to do more about. That being said I like to categorize revisions into two categories: major and minor. A major revision is one in which we have to put you back to sleep and open your nose and most importantly the recovery starts over again. Deviation, breathing and tip issues are general examples of this. Leaving too much dorsum, like in your case, I would consider minor as that can easily be done with some local anesthetic and a quick shave in MOST circumstances. That being said if your surgeon took off TOO much the problem is much more difficult to solve. Good luck!
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October 18, 2018
Answer: Post op concern regarding dorsal hunp Hello, and thanks for your question. One month is very early post op. One cannot truly judge the final outcome until about a year post op. However, from your pictures, it seems that perhaps your dorsal hump may have been under-reduced. Also, does your nasal tip droop and your upper lip foreshorten when you smile? If so, you may have a hyper-active depressor septi muscle that can be treated. More photos with full smile would be helpful. Also, rhinoplasty in cleft lip/palate patients can be very challenging. It is possible you might have some residual deviation when all the swelling has resolved. For now, be patient. Up to 10% of patients may need a revision. All the best.
Helpful 1 person found this helpful
October 18, 2018
Answer: Post op concern regarding dorsal hunp Hello, and thanks for your question. One month is very early post op. One cannot truly judge the final outcome until about a year post op. However, from your pictures, it seems that perhaps your dorsal hump may have been under-reduced. Also, does your nasal tip droop and your upper lip foreshorten when you smile? If so, you may have a hyper-active depressor septi muscle that can be treated. More photos with full smile would be helpful. Also, rhinoplasty in cleft lip/palate patients can be very challenging. It is possible you might have some residual deviation when all the swelling has resolved. For now, be patient. Up to 10% of patients may need a revision. All the best.
Helpful 1 person found this helpful
