I am so disappointed and look far worse than before. The swelling does not seem to be going down. My nose that was flat before is now wavy and has multiple bumps. I cannot breathe at all and never had previous breathing problems. The reason for my getting this surgery in the first place was that I had a slight bone protruding from a lack of cartilage. I never wanted any cosmetic enhancement and now my nose is completely different. Is it normal for my nose to look so much worse than before?
I Had a Nasal Reconstruction on 12/14/12 with a Rib Cartilage Graft?
Doctor Answers 5
Unhappy with results
It is difficult to answer your question with the information you provide.I will say that 4 weeks is very early yo judge the results. The inner lining of the nose is still swollen.
Nasal reconstruction and rib cartilage
It is a bit unclear why you had a dorsal augmentation. Photographs would help to delineate your concerns.
It takes a long time in many cases for the final result to present itself, especially if your surgery was significantly involved enough to require rib grafting. Watch your salt intake as it will affect your swelling and give it time. It is possible there is a problem with the graft warping but it is likely too early to tell at this point.
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To rib graft or not to rib graft in rhinoplasty?
Was this a straight piece or diced cartilage fascia graft? Swelling with rib grafts or any grafting is sometimes more than when grafts are not used. Be patient. However, if there is bumpiness, then that could be pieces of cartilage poking through or irregularities (uneven) textures of the rib itself. It all depends on whether fascia was used to wrap the rib or a straight piece was inserted. If there is poking through and uneven areas at around 3 to 6 months still, then it may require a revision procedure. Sometimes, it is beneficial to take out the rib graft and dice it, wrap in fascia (sheet of tissue over temple muscle) and replace it back. This allows for molding and creating a smooth texture with less chance of bumps etc. For now, be patients, trust your surgeon and re address this at around 6 months.
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