I have an open septo-rhinoplasty 9 months ago and I am terribly unhappy with the results. I am afraid to have a revision and make matters worse, so I want to be able to be very clear with my new surgeon. What is this V shape I am seeing on the frontal view and how can it be improved? Do the risks outweigh the benefits if I underwent revision? Is there little improvement that can be made to my result? I have issues breathing as well. I feel much worse off than I was before surgery.
December 11, 2016
Answer: Unacceptable Appearance After Rhinoplasty Hello,The V shaped area is caused by your tip cartilage that is drooping downward. You should go to a few ABPS certified/ASAPS member surgeons that specialize in revision rhinoplasty. We can make it much, much better. Best of luck! Instagram: drgeraldminniti
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December 11, 2016
Answer: Unacceptable Appearance After Rhinoplasty Hello,The V shaped area is caused by your tip cartilage that is drooping downward. You should go to a few ABPS certified/ASAPS member surgeons that specialize in revision rhinoplasty. We can make it much, much better. Best of luck! Instagram: drgeraldminniti
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December 12, 2016
Answer: V-shape Hello, The shape is probably due to low cartilages (medial crura of lower lateral cartilages to be exact). Since the tip is also slight droopy (=ptotic), my personal approach would be to reposition the tip in a slightly higher position and to conservatively reduce any excess cartilage. This should improve the V-shape. You might also need cartilage spreader grafts between your septum and the upper lateral cartilages to improve the breathing. However, I am just guessing since I haven't examined you. After 9 months it is unlikely that things are improving without intervention.
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December 12, 2016
Answer: V-shape Hello, The shape is probably due to low cartilages (medial crura of lower lateral cartilages to be exact). Since the tip is also slight droopy (=ptotic), my personal approach would be to reposition the tip in a slightly higher position and to conservatively reduce any excess cartilage. This should improve the V-shape. You might also need cartilage spreader grafts between your septum and the upper lateral cartilages to improve the breathing. However, I am just guessing since I haven't examined you. After 9 months it is unlikely that things are improving without intervention.
Helpful