I had to previous sinus surgeries with septoplasty and now have saddle nose. I do have a hole in my anterior septum. The second to the last photo is what my nose looked like prior to surgeries several years ago.
January 31, 2017
Answer: Can my nose be fixed with filler, or what I need to have surgery? In our practice, we do not recommend placement of a significant amount of fillers in the nose in an attempt perform a rhinoplasty procedure. Fillers are only temporary, are not FDA approved for that application, and can have significant complications such as skin necrosis. A surgical rhinoplasty can accomplish shaving down the dorsal hump, and building up the saddle nose deformity with a cartilage graft. This is a very difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience. For more information and many examples, please see the link and the video below
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January 31, 2017
Answer: Can my nose be fixed with filler, or what I need to have surgery? In our practice, we do not recommend placement of a significant amount of fillers in the nose in an attempt perform a rhinoplasty procedure. Fillers are only temporary, are not FDA approved for that application, and can have significant complications such as skin necrosis. A surgical rhinoplasty can accomplish shaving down the dorsal hump, and building up the saddle nose deformity with a cartilage graft. This is a very difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience. For more information and many examples, please see the link and the video below
Helpful
January 31, 2017
Answer: Nasal Deformity and Septal Perforation I am sorry that your previous surgery was complication by a nasal septal perforation and secondary saddle deformity of the nose. Fillers only offer temporary camouflage for the saddle deformity and are associated with risks to the skin and vascular supply to the tissue. Actual correction would require nasal reconstruction rhinoplasty and closure of the nasal septal perforation simultaneously. Perforation closure depends on several factors including, size of the perforation, location, septal mucosal tissue health, infection, persistent sinus issues etc. Smaller perforation less than 1cm have a greater success rate than larger ones, though perforations can be closed generally up to 3cm. If your perforation is very large, but stable without infection, some surgeons would opt to leave it alone and reconstruct the saddle deformity with an open rhinoplasty. Ideally, best to fix the nose and perforation together, if possible. Consult with a surgeon who has experience and success with septal perforation and rhinoplasty to see if your case is favorable with regards to repair. Please contact my office if you need additional information. Best Regards.
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January 31, 2017
Answer: Nasal Deformity and Septal Perforation I am sorry that your previous surgery was complication by a nasal septal perforation and secondary saddle deformity of the nose. Fillers only offer temporary camouflage for the saddle deformity and are associated with risks to the skin and vascular supply to the tissue. Actual correction would require nasal reconstruction rhinoplasty and closure of the nasal septal perforation simultaneously. Perforation closure depends on several factors including, size of the perforation, location, septal mucosal tissue health, infection, persistent sinus issues etc. Smaller perforation less than 1cm have a greater success rate than larger ones, though perforations can be closed generally up to 3cm. If your perforation is very large, but stable without infection, some surgeons would opt to leave it alone and reconstruct the saddle deformity with an open rhinoplasty. Ideally, best to fix the nose and perforation together, if possible. Consult with a surgeon who has experience and success with septal perforation and rhinoplasty to see if your case is favorable with regards to repair. Please contact my office if you need additional information. Best Regards.
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