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Posted underRevision Rhinoplasty q&a

Is it swelling or will I need a revision? (Photo)

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_bluntbunnyJul 5, 2023

I’m 7 and a half weeks post op. I sens about three weeks to a month post op. I realized I had a bump on the right side of my nose near the bridge at my six week appointment. My doctor said that it was probably a bony growth and gave me a steroid shot in the nose. It’s also extremely red in the area the bump is. I have slight discoloration on the other side as well, but the bump is nowhere near the sam size. Botched or just healing

Answers (1)

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Dr. Timothy Osborn, MD
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Dr. Timothy Osborn, MD
Board Certified Oral & Maxillofacial Surgeon
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Answered on Jul 24, 2023
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Stephen J. Pincus, MD

My impression is that the blood vessels tend to get somewhat hyper-reactive from the surgical manipulation. I have been told that perhaps an IPL or laser treatment might help to remedy that situation. You should contact a dermatologist or plastic surgeon who has these forms of treatment and see...

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Stephen J. Pincus, MD

My experience is that at 7 months most of the swelling will have resolved and you should have a good idea about the general symmetry or lack thereof! Now having said that, there are cases where additional resolution can occur to produce a thinner and more elegant nose. And I've even seen changes...

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Eric M. Joseph, MD

If the area where your marked is soft to the touch, an additional steroid injection might be considered to reduce some persistent swelling. If it feels firm, it may be residual cartilage. Since you describe it as soft and compressible, please consult with your surgeon about performing an...

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Philip S. Schoenfeld, MD, FACS

I am not able to give you an exact answer without nasal photos and what the surgeons surgical plan is. I will say that 1 millimeter is almost nothing in terms of nasal tip support at the caudal septum. I would also add that removing 1 mm of cartilage will not correct a curved tip or caudal...

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Stephen J. Pincus, MD

It is hard to comment on specific issues without the luxury of seeing you in person or looking at better photos. However, that being said, many of the results you mention can be reversed to a greater or lesser degree. It should also be noted that in addition to cartilage being repositioned,...

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Gianfranco Frojo, MD

I would recommend a revision rhinoplasty with cadaveric fresh frozen cartilage. In addition, I would recommend placing some temporalis or posterior auricular fascia over the dorsum of the nose to help further camouflage the irregularities. This is a very complex issue that needs to be addressed...

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