Bump due to spreader graft, should I have a revision? (photos)

Question

I had a rhinoplasty about 8 months ago so most of my swelling has gone. Above the tip of my nose there is a bump, you can see it once pointed out and it is more prominent when I smile. My plastic surgeon has advised me its cartilage from the spreader grafts used. He has advised me if I wish he can go in and fix it but he is anxious too as it could cause a dint and a pinched 3rd? Im not sure what this would look like and need advice as I am unhappy at present but dont want to ruin my face. Help?!

Pedram Imani, FRACS, MS, MBBS (Hons) · Answer

Readjusting and refining a misplaced spreader great or any piece of cartilage after rhinoplasty is not a big deal.  Removing it in total is not good idea and it will lead to deformity.  Your surgeon should feel confident about revising his/her own work.  Hope this is helpful.

Fred J. Bressler, MD, FACS · Answer

It's normal to feel some stress or anxiety when considering a revision surgery for your nose. That said, you are unhappy with your present nasal appearance and your surgeon has identified that the cartilage spreader graft may be too tall for you. In my view, this is a relatively safe and minor adjustment for a revision and merits your consideration. I assume that you trust and have confidence in your physician, despite the expressed risks and concerns. If so, then perhaps you can plan your revision after 1 year recovery. It's ok to consult with other surgeons for a confirmatory opinion on how to best proceed if your wish. If you are truly unhappy now, I would plan to have this corrected.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. You may be a candidate for a revision rhinoplasty. Of course, you will need an in-person consultation to evaluate you for this procedure. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!
 
 Best,
  
Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Bump due to spreader graft, should I have a revision? (photos)

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Everything you need to know about Revision Rhinoplasty

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Bump due to spreader graft, should I have a revision? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.