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10 months post op - "Closed" revision rhino: how much change can be done? (Photos)

Imaginative994810
Hello dear doctors, 10 Months ago I had my primary open surgery. I realized in order to have my natural frontal view and nose height, not only tip projection, but columella longening is required, am I right? So I had these questions: 1. is it manageable to enlongen columella through closed revision? (columellar strut) 2. is widening my bridge, alar base and tip projection with ear cartilage through a closed revision possible? (ear cartilage would not be absorbed in a few years..?) 3. How much likely is it to achieve a natural result like 4th pic? 4. as long as I know, the thing that limits the surgery is skin shortness. so since in closed revision, no skin is shortened, if I don't get the desired results, will it be safe to just pass and go for another opened revision without losing anything? Thank you for your time

Answers (2)

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Dr. Eric M. Joseph, MD
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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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