I've been for the year visit. Still worried about the slight bump on the bridge. Crushed cartilage graft dissolved above the bump and below it (The area above the nasal tip) PS stressed that it may not turn out for the better after the revision,that it may re-absorb again. Another suggestion is to just "shave" the bump down, which may make my nose look slightly pointy (optical illusion). Which way do I go? What are the chances that it will re-absorb again and worsen the original outcome?
About Fillers Vs Revision Rhinoplasty?
Doctor Answers 5
Fillers vs Rhinoplasty
An in person evaluation and consultation is recommended to evaluate the current condition of your nose. It is possible that once the nasal swelling went down over the cartilage graft, the hump was visible again and that more cartilage is needed. The other option is as you mention to shave down the hump. Please consult with a board certified specialist who can evaluate you, show you realistic expectation with computer imaging, and guide you to help achieve the results you seek.
Bump On The Bridge After Rhinoplasty
Thanks for the question. Morphing your nose with computer imaging may be helpful for you to see what it would look like if the bump were removed vs. camouflaging it again with crushed cartilage during revision rhinoplasty. Another option would be the injection of fillers (nonsurgical rhinoplasty) such as Restylane, Juvederm, or Perlane to hide the bump and help you decide if you like the look of a slightly higher bridge. The advantage of these fillers are that they are easily dissolved with an injection of hyaluronidase, if you either don't like the look of the filler, if too much product is injected, or if you are ready for revision surgery. Hyaluronic acid (HA) fillers such as these generally last 9-12 months but, in some cases, even a bit longer in the nose.
Posting photos would be helpful the surgeons in this forum get a better sense of the size and location of your bump. Obviously an in-person examination would be most useful. You should certainly go over all of your concerns in detail with your rhinoplasty surgeon.
We do not recommend fillers in the nose unless there is a very small depression present. A small bump or irregularity along the bridge line is best treated by gentle rasping performed as a touchup procedure. A cartilage graft is only used to augment a depressed area. Only on rare occasions do the cartilage grafts dissolve.
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Fillers or Revision Rhinoplasty
Although you give a detailed description, there is subtlety in every rhinoplasty case that is hard to evaluate without pictures or an exam. Fillers may be considered to bridge the gap or smooth irregularities. Kenneth Hughes, MD Los Angeles, CA
Fillers vs Revision Rhinoplasty
For patients like you I usually recommend a revision which is permanent. Fascia, whole cartilage, or diced cartilage can be used. However fillers may be a reasonable alternative for minor irregularities. I need to see pictures to give you a more specific answer.
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