Can I have a revision rhinoplasty under the mentioned circumstances? (photos)

Question

I had a nose surgery where my nose was made way too narrow. Additionally, I had a circulation problem that didn’t lead to complete necrosis, but the skin on the sides of my nasal tip died and is heavily scarred. I also have white spots on the sides of my nasal bridge, although the skin feels normal. However, my thin skin seems to adhere closely to the underlying structures. Despite these circumstances, is it usually possible to perform a revision surgery to widen my nose with cartilage grafts?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Generally speaking, yes this type of revision is possible. For soft tissue deficits I will often employ soft fascial grafts in these types of cases. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Jeffrey H. Spiegel, MD · Answer

It is likely that we can improve things. I would put you into hyperbaric oxygen at the time of surgery. We have this in our office.  However, obviously, it is hard to answer accurately without photos or more information.  But, typically the answer would be yes.

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