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Can things improve after 3 nasal surgeries? Last one a reconstruction (Photo)

T
Terrific449559Jun 19, 2024

I had three surgeries. The last one was a reconstruction due to columella/tip necrosis and infections from the previous surgery. A columella was “created” by “lip lifting”, rotation flaps and rib cartilages were used. 3 months post-op: the indented left side of the tip is indented/depressed again. Nostrils have collapsed. I feel pressure and my nose feels congested most of the time. Sometimes burns.

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
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Answered on Jun 20, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a good candidate for a Revision Rhinoplasty in order to produce a more symmetric tip with smoother contour. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a...

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Hello and thank you for your question. Rasping alone will usually not permanently fix this. It can make it look better for 1 to 2 months and then it will usually get worse with worsening contour regularities due to the thin dorsal skin. What is usually a much better technique is rasping,...

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Eric M. Joseph, MD

Based on your photos, you appear to have a symmetry of your nostrils and the lower 1/3 of your nose. The feasibility of correct English would require an examination, in my opinion. In that regard, if you are severely dissatisfied with the appearance of your nose, please consider meeting with a...

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If you're hanging columella is being caused by an overly long septum, I'm not sure if an isolated columella plasty would be beneficial. If you're hanging columella is caused by an excessively long nasal septum, when you push up on it, it should not move much. In our experience, removing...

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