Unsatisfactory rhinoplasty 30 months ago. Thoughts?

Question

I had a rhinoplasty procedure 30 months ago. The main purpose of the surgery was to reestablish the structure of the nasal bones which had been damaged by a severe blow to the face when I was wearing glasses ie the area damaged corresponding to where the nose pads routinely rest. The surgeon said this was possible using donated cartilage. I see no improvement in this area, rather it appears the cartilage was used either side of the middle third. I have developed a pollybeak deformity. Thoughts?

Thomas Spalla, MD · Answer

30 months is enough time to have established a final outcome from rhinoplasty. If you still see something unsatisfactory, then it's time to consult with a surgeon experienced in revision rhinoplasty for their opinion.

Eric M. Joseph, MD · Answer

Since you are 30 months postoperative, I believe you were looking at a final result. If you have persistent indentations where your nose was depressed, microdroplets Silikon 1000 injections may be considered for filling these areas. If you have a poly beak, this may require revision rhinoplasty. I hope this is helpful. Sincerely, Dr. Joseph

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Mats Hagstrom, MD (license on probation) · Answer

To make an outcome on the assessment of a plastic surgery procedure we generally need to see a complete proper set of before and after pictures. If you don’t have before and after pictures, then contact your surgeon and ask them to forward the pictures they took. Your surgeon is also the right person to follow up regarding concerns about the outcome. Your indication for surgery does not sound straightforward. 
Without understanding the problem or seeing the outcome, there isn’t much we can do for you.
Consider reposting it with a complete set of before and after pictures.
Best,
Mats Hagstrom, MD

Unsatisfactory rhinoplasty 30 months ago. Thoughts?

Answers (4)