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What can be done to revise crooked results and breathing issues 2 years after rhinoplasty? (photo)

Bright87853Aug 13, 2024
I had a revision rhinoplasty 2 years ago aiming to straighten my nose, improve breathing, and enhance my nasal bridge. Unfortunately, none of these were achieved; the septoplasty wasn't strong enough, so my nose reverted to its crooked shape, causing breathing issues. The FDC graft now shows severe irregularities visible through the skin. My surgeon refused further work. Can anything be done to fix this?

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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Aug 15, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. It is definitely possible to remove a septal extension graft and replace it with a different support system that can feel softer and more natural. I would never advise leaving a tip unsupported without any grafts, however. I recommend that you seek...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin o...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, I would recommend a revision rhinoplasty with nasal tip deprojection. This can shorten the elongated appearance of your tip. With good surgical technique, you could have an outstanding result. I recommend that you seek...

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