How is this fixable? 7 months post op (Photos)
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Doctor Answers 6
Nasal contour irregularity
This is mid-vault collapse. This needs to be treated with a cartilage graft from you. This should be straight-foward to fix. NO GORETEX!
your collapse is at the so called 'keystone' area where the nasal bones meet the dorsal cartilaginous septum.... when this area is over-resected, upper lateral cartilages lose support and/or infracture of nasal bones doesn't go as perfectly as intended, there are classic functional and aesthetic consequences.... i am of the mindset that these are best address anatomically with structural cartilage grafting rather than fillers or man-made substitutes
Contour deformity after rhinoplaty - How is this fixable? 7 months post op
Hello cdp1 - Thanks for your question. An easy way to fix the contour irregularity would be to use injectible filler. The procedure is done in the office using topical anesthesia. It can completely correct the issue, but it has to be performed every year. The more permanent solution would be revision rhinoplasty to place a right sided spreader graft to fill in the defect and straighten the bridge while elevating the upper lateral cartilage on that same side. Make sure your surgeon feels comfortable with this plan, or get a second opinion from a specialist in revision rhinoplasty.
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Nasal Depressions 7 Months Post Rhinoplasty
Yes, depressions can be augmented after rhinoplasty surgery. However I use the patient's own tissue, in this case cartilage, rather than synthetics such as Gortex which are easier to place but have a much higher complication rate.
How is this fixable? Seven months postop rhinoplasty
From the limited photographs, it appears that the nasal bones themselves are straight, however the upper lateral cartilage in the midportion of the nose is concave. This can be fixed with a unilateral spreader graft harvested from inside the nose placed underneath that concave area. We do not recommend Gore-Tex placement in the nose due to significant complications we have seen from it over the last 25 years. For more information about spreader grafts and many before-and-after examples, please see the link and the video below
Postrhinoplasty Contour Irregularities
Thanks for your question. What you have experienced can be common for many patients. However, the degree to which there is a contour irregularity varies greatly. Thus, the treatment will as well. In general, filling this area with a material that is soft can do a lot for volume. Gore-Tex is definitely an option and actually, when performed under strict sterile techniques, can be a nice adjunct for post-rhinoplasty contours. There are also other options like morselized cartilage or fascia as well. In addition, some surgeons may offer placement of an injectable filler in the clinic to treat the area for up to one year without surgery. All of these are options and are at the discretion and experience of your surgeon. Talk further with your surgeon to see what options are best for you in their hands.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.