Asked By:duarte2 in Kilsby, England, United Kingdom
I previously had a very thin radix and nasal bone which needed thinning. I underwent a rhinoplasty in which my surgeon decided to use septal cartilage, layering it so that no visible edges are seen from the outside, to fill in the area. He filled it in assuming all would stay, and didn’t overfill. I have to say it looked great when first taking off the cast, having the edges align with my nasal bone even when my eyebrows were raised. Unfortunately, it looks like a lot was absorbed and I am now looking for a non-migrating, permanent, alternative. What are my options? I understand that I have to wait a year or so before the swelling of the nose heals before an open revision surgery, during which I was thinking to add hyaluronic acid to this area temporarily but then to dissolve and go for the permanent fix once the swelling goes down. Would this be fine to do? Given that there was some cartilage in there, and maybe some still left. Could the hyaluronic acid end up migrating and causing issues in the meantime? Would this interfere with the eventual solution? I had some surgeons suggesting a fat transfer and some strongly advising against it. Fascia was mentioned a lot. Please let me know your thoughts on this.
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Answers (2)
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March 3, 2025
Answer: A permanent non-surgical nose job to widen the Radix.
The nose can always change slowly over time after initial rhinoplasty. The nostrils can pull up a bit and some of the support of the tip can be lost which can account for the issues you see. Revision rhinoplasty would be best to address these things and the columella can be brought up some while...
When considering revision rhinoplasty, it’s completely natural to arrive with preferences or ideas in mind—like combining filler with a surgical touch-up. But in practice, the best results aren’t built from mixing modalities; they come from selecting the most stable, predictable path to ...
Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision rhinoplasty. Maneuvers would include rasping the dorsum followed by placement of a mastoid fascia dorsal onlay graft or morselized dorsal onlay graft to improve the smoothness and contour of...