What started as wanting to straighten my crooked nose for functional and cosmetic reasons has led me to be even more unhappy. I would trade back to my crooked nose in a heartbeat. I am left with a host of problems. I have had two operations with a revision two years ago. The grafts are very uncomfortable and pushing on my skin, they show through and my nasal skin is very red. No fascia was used. My question is how difficult is it to remove the grafts and what method can be used to give smoother contours.
Answer: Graft Visibility After Rhinoplasty Thank you for your question and photos. Graft visibility after rhinoplasty is a potential complication. If it is not painful or threatening the skin, it can be shaved with a needle in some cases or camouflaged with fillers. The use of fascia or dermis at the time of surgery helps to camouflage cartilage in thin skinned patients. In your case it sounds like the graft is causing pain and threatening the skin. In this situation, removal of the graft through an open rhinoplasty approach would be the best option. This would allow for correciton of any further contour irregularity. Hope this helps. Best wishes.
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Answer: Graft Visibility After Rhinoplasty Thank you for your question and photos. Graft visibility after rhinoplasty is a potential complication. If it is not painful or threatening the skin, it can be shaved with a needle in some cases or camouflaged with fillers. The use of fascia or dermis at the time of surgery helps to camouflage cartilage in thin skinned patients. In your case it sounds like the graft is causing pain and threatening the skin. In this situation, removal of the graft through an open rhinoplasty approach would be the best option. This would allow for correciton of any further contour irregularity. Hope this helps. Best wishes.
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April 6, 2013
Answer: Visible Graft Showing Through Thin Skin?
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April 6, 2013
Answer: Visible Graft Showing Through Thin Skin?
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April 3, 2013
Answer: Revision rhinoplasty to improve contour of visible grafts
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April 3, 2013
Answer: Revision rhinoplasty to improve contour of visible grafts
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Answer: Camouflage, temporalis fascia, nonsurgical rhinoplasty from the limited photographs that are available it is apparent that there is a subluxation, dislocation, ofa spreader grafts that may have been placed to straighten the nose and secure the middle vault. You also have very thin nasal skin which reveals any irregularities beneath the skin. Then the skin can also become hypervascular after a rhinoplasty creating the redness over the nasal dorsum. There also appears to be a parenthesis deformity which is an indentation between the tip and the sidewall of the nostril. The least invasive and most limited approach would be to have a nonsurgical rhinoplasty with injectable fillers. The skin had an adequate amount of softening over the nasal skin to reduce the visible irregularities. This could be done with intense pulse light to reduce the dilated vessels over the nasal dorsum. This would be a more temporary improvement. The other option is to again perform a revision rhinoplasty directly trimming the irregular pieces of cartilage and thickening the skin with the placement of temporalis fascia. This may not relieve the redness over the nasal dorsum and intense pulsed light me still be necessary. I would recommend you see a facial plastic surgeon with a great deal of experience with revision rhinoplasty.
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Answer: Camouflage, temporalis fascia, nonsurgical rhinoplasty from the limited photographs that are available it is apparent that there is a subluxation, dislocation, ofa spreader grafts that may have been placed to straighten the nose and secure the middle vault. You also have very thin nasal skin which reveals any irregularities beneath the skin. Then the skin can also become hypervascular after a rhinoplasty creating the redness over the nasal dorsum. There also appears to be a parenthesis deformity which is an indentation between the tip and the sidewall of the nostril. The least invasive and most limited approach would be to have a nonsurgical rhinoplasty with injectable fillers. The skin had an adequate amount of softening over the nasal skin to reduce the visible irregularities. This could be done with intense pulse light to reduce the dilated vessels over the nasal dorsum. This would be a more temporary improvement. The other option is to again perform a revision rhinoplasty directly trimming the irregular pieces of cartilage and thickening the skin with the placement of temporalis fascia. This may not relieve the redness over the nasal dorsum and intense pulsed light me still be necessary. I would recommend you see a facial plastic surgeon with a great deal of experience with revision rhinoplasty.
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July 9, 2018
Answer: Graft visibility after Revision Rhinoplasty Hi there, thank you for your photos. The grafts can be removed during a Revision rhinoplasty. Depending on the set aesthetic and functional goals they can be refined and replaced, or other surgical manoeuvres need to be introduced to give you smoother contours.
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July 9, 2018
Answer: Graft visibility after Revision Rhinoplasty Hi there, thank you for your photos. The grafts can be removed during a Revision rhinoplasty. Depending on the set aesthetic and functional goals they can be refined and replaced, or other surgical manoeuvres need to be introduced to give you smoother contours.
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