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Given grafts on bridge with no discussion prior surgery, only wanted tip altered. Is this normal?

Sociable348381Sep 29, 2022
I had a revision rhinoplasty a couple of years ago. The surgeon added cartilage to my bridge without it being discussed in consultations or before surgery. He added a significant amount of cartilage to my bridge, which he tried to rectify with filler. It is still bumpy and uneven. I was happy with my previous bridge; we only discussed altering the length and shape of my tip. I even got rhinoplasty imaging (bridge was the same). Is this normal practice as it was a shock and challenging recovery.

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From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 3, 2022
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David M. Kowalczyk, MD, MBA, FACS

Hi there! At 1 month post surgery, there's still quite a bit of swelling and changes left to occur. I don't recommend adjustments such as minor nasal revisions for at least 6-8 months. I would return to your surgeon if you're comfortable and have a discussion about expectations. I have patients...

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David M. Kowalczyk, MD, MBA, FACS

Hi there! A revision rhinoplasty can certainly help to improve symmetry. With smiling, much of the movement is inherent to the musculature nearby. By using cartilage grafts, a structure-approach can be integrated thus providing a sound, firm nose. The nasal tip can also be narrowed if desired at...

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Jonathan Kulbersh, MD

Thank you for your question and for providing photos. After nearly a year and a half post-op, it is unlikely that you’re still experiencing residual swelling. It is possible that you’re a candidate for revision rhinoplasty to address the nasal tip and nostril symmetry. During this pro...

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