Revision Septoplasty - bump on bridge (Photo)

Question

Hi, I had my first Rhinoplasty/Septoplasty back in 2003, but my nose slowly became crooked again bt I had my bridge decreased alsoI had a revision Septoplasty this past January. It included a nostril graft because it was pinched, release of scar tissue and also cartilage grafts on my bridge since I didn't have much of one left. The surgery was almost 5 hours to fix the structure and breathing. There is still some swelling left on my left side. Do I need to wait the full year?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, the dorsal contour irregularity will likely require a revision to improve it. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin of the dorsum is extremely thin. A much better approach is to do a formal revision with rasping and placement of a dorsal onlay fascial graft to help smooth the dorsum. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Revision Septoplasty - bump on bridge (Photo)

Answers (1)