Hi. I had a nose surgery 6months ago. Immediately after surgery the nose was unstraight and the bride overly narrowed. I went to see my surgeon last week who says he needs to a revision with spreader graft. Do you think by looking at the pictures that's enough to do? Should he place uni or bilateral spreader graft? I also think the bone is unstraight? Also there is a "dip" in profile just beneath the bone. What can be done to fix that? Overall I'm very disappointed. Hope you can answer. Tx
January 21, 2015
Answer: Revision rhinoplasty for collapsed nose. You need to wait another three months for a revision of your collapsed nose. At that time you will need soft tissue and cartilage graft placed in the mid nose as well as spreader graphs possible removal of cartilage in the supratip. In addition you may need alarbatten graphs and further excision of cartilage in the tip which I will know when i examine your nose. You can look at various websites under revision rhinoplasty and choose a very experienced revision rhinoplasty surgeon who does natural looking noses. Meet with patients who had a revision and is like yours to determine who should do your nose. You will not need rib cartilage.
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January 21, 2015
Answer: Revision rhinoplasty for collapsed nose. You need to wait another three months for a revision of your collapsed nose. At that time you will need soft tissue and cartilage graft placed in the mid nose as well as spreader graphs possible removal of cartilage in the supratip. In addition you may need alarbatten graphs and further excision of cartilage in the tip which I will know when i examine your nose. You can look at various websites under revision rhinoplasty and choose a very experienced revision rhinoplasty surgeon who does natural looking noses. Meet with patients who had a revision and is like yours to determine who should do your nose. You will not need rib cartilage.
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January 21, 2015
Answer: Nasal Collapse and Revision Rhinoplasty In reviewing your pictures, you appear to have some issues with you nose. The middle part of the nose appears to be narrow and may has some collapse. From the profile, you have some concerns about a dip. It is difficult to give you specifics about what you need without clear communication of your goals and concerns and I would need to review the following:1) You preoperative pictures2) Your operative report--The document describing the techniques your surgeon used. 3) Detail physical exam of your nose to feel it strength and review the 3D structure of your noseGenerally speaking, you need to re-support the middle area of the nose where you have collapse. This is commonly resupported with spreader grafts. My gut would think you are going to need spreader grafts on both sides of your nose. The timing of a revision rhinoplasty is important. Before
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January 21, 2015
Answer: Nasal Collapse and Revision Rhinoplasty In reviewing your pictures, you appear to have some issues with you nose. The middle part of the nose appears to be narrow and may has some collapse. From the profile, you have some concerns about a dip. It is difficult to give you specifics about what you need without clear communication of your goals and concerns and I would need to review the following:1) You preoperative pictures2) Your operative report--The document describing the techniques your surgeon used. 3) Detail physical exam of your nose to feel it strength and review the 3D structure of your noseGenerally speaking, you need to re-support the middle area of the nose where you have collapse. This is commonly resupported with spreader grafts. My gut would think you are going to need spreader grafts on both sides of your nose. The timing of a revision rhinoplasty is important. Before
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