Can nasal graft spacers be removed? What might go in their place? (photos)

Question

I have had multiple rhinoplasties, the most recent in 2006. My nose at one stage was too thin. A surgeon (Ira Papel) used a spacer graft to rebuild my nose. I looked terrific.... at first. Over time the scar tissue built up and now my nose looks un-natural, lumpy and asymmetrical. The tip faces downward. I want the spacers removed and the tip re-grafted, yet, what could go in their place? I need to speak to a specialist, someone who has had success in removing spacers.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for sharing photos and information.Due to the previous alterations you had, Revision Rhinoplasty can be much more complex, take more time for healing.The entire structure  must be harmoniously proportioned to fit the surrounding the face, by Closed and Atraumatic technique you will have minimal edema&swelling and maximum healing and no scar on your columella.Best Regards,

William Portuese, MD · Answer

Revision is more difficult than a primary due to previous alterations, thick-skin, and scar Tissue formation. A thorough internal and external examination of the nose is going to be required to make a determination about how best to proceed. It's also Important to know how much cartilage is left over on the inside of the potential grafting purposes.

Can nasal graft spacers be removed? What might go in their place? (photos)

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