It has been over 8 months since my open rhinoplasty. I am left with this. What happened? Can I possibly fix this assymetry? My doctor kept saying it's swelling and to massage it. It's hard and a little numb one the right side.
March 27, 2011
Answer: Crooked Columella May Require Revisional Rhinoplasty
A crooked columella after rhinoplasty could be due to a septal deviation, a malpositioned columellar strut graft or even tip cartilages that have twisted with scarring or initial placement. Now that it is nearly nine months after your initial surgery, it is unlikely that major resolution or improvement is going to be seen with more time. This would indicate that revision for improvement will be needed. At this point waiting until a full year surgery before revision is not much longer. Go back at one year and discuss with your plastic surgeon your concerns and hear what he/she has to say. If not happy with those answers, it is time to get a second opinion.
Helpful 1 person found this helpful
March 27, 2011
Answer: Crooked Columella May Require Revisional Rhinoplasty
A crooked columella after rhinoplasty could be due to a septal deviation, a malpositioned columellar strut graft or even tip cartilages that have twisted with scarring or initial placement. Now that it is nearly nine months after your initial surgery, it is unlikely that major resolution or improvement is going to be seen with more time. This would indicate that revision for improvement will be needed. At this point waiting until a full year surgery before revision is not much longer. Go back at one year and discuss with your plastic surgeon your concerns and hear what he/she has to say. If not happy with those answers, it is time to get a second opinion.
Helpful 1 person found this helpful
March 26, 2011
Answer: Crooked Columella
It would be important to evaluate the base view of your nose to see if there is true deflection of your caudal septum and asymmetry of your nostrils. If the caudal septum is deviated this could be corrected with a revision surgery, perhaps in a closed manner. Also, the firmness should resolve over the next few months.
Helpful
March 26, 2011
Answer: Crooked Columella
It would be important to evaluate the base view of your nose to see if there is true deflection of your caudal septum and asymmetry of your nostrils. If the caudal septum is deviated this could be corrected with a revision surgery, perhaps in a closed manner. Also, the firmness should resolve over the next few months.
Helpful