Bones Reset After Rhinoplasty?

           If there is a visual difference, wait 6 months for swelling to be reduced.  If there is a palpable difference, there may not need to be a revision.  If there is a minimal amount of rasping that needs to be done, this can be done under local. 

Rhinoplasty revisions should wait 9-12 months depending on the circumstances.  Without pictures, it is impossible to determine what the specific problem is, or whether your assessment is correct.  If there are major asymmetry issues with your nasal bones, osteotomies will have to be repeated. This procedure is best performed under anesthesia. However, many issues do resolve with a tincture of time.  Stay in close contact with your Surgeon and try to be optimistic.

Dear renap1,


I would wait the full 6 months for all of the swelling to come down

Even though you can tell it is not right, we need to wait so we can know exactly where to reset the bones

It is something that can be done pretty easily without a long surgery, but you should probably be asleep for it


Best regards,

Nima Shemirani

Dear Renap,

Without knowing what procedures were done during your rhinoplasty, I can't provide a definitive answer.  I would say that if your nose was fractured during your rhinoplasty and there is an uneven nasal bone position post-operatively, it is easiest to reposition them with bedside physical manipulation during the first 2 weeks after your surgery.  It is much more difficult to address the problem after that period, without another operation.

 

Best,

Asif Pirani, MD, FRCS(C)

The real question is if you see an external abnormality.  It is not unusual to feel some degree of irregularity of the nasal bone area after an osteotomy or fracturing of the bone.  The bone of the nose is membraneous bone and heals quickly and will remodel over time.  Ask your surgeon for an evaluation and give it time to smooth out.  It the bones are actually not aligned accurately then a revision could be done.  

I would give it six months to a year before considering revision of nasal bone issues.  It is too early to treat at this point.

Thanks for the great question. There can be some asymmetry after a Rhinoplasty especially in the second month. It is fairly common. Please give your concern another month to possibly resolve. If the asymmetry is still present consider starting with your nasal surgeon. If they do not address your concerns adequately get a copy of your operative report and seek out a second option. Depending upon the extent of your surgery many Rhinoplasty Surgeons most likely will wait 6  to 12 months before considering a Redo Rhinoplasty. Yes, if your nasal bones are crooked there is a high probability your nose will have to be re-broken at the time of that procedure. Best,

 

Gary R Culbertson, MD, FACS

Hi.

Talk to your surgeon and get another opinion.  You probably will need a touch up, and it should be done with sedation (that is to say, with an anesthesiologist).

 There are no shorter times for adjustments of bone or nasal tissues than 6 months.  The time frame is to allow the re-establishment of the blood supply to the nose.  Re-breaking the bones would require a Revision Rhinoplasty and should be done in the OR for your comfort and safety but you should discuss these issues with your Rhinoplasty Surgeon.  IMHO, 6 weeks is to soon to make a determination about the final result, so waiting may resolve the issue.