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1 year post revision rhino. Can adding cartilage to the tip fix crookedness?

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slipperyslope123Jul 5, 2023

Nose tip was smashed in 3 weeks post surgery this changed the shape of nose and caused more swelling. Can adding cartilage to tip fix crookedness

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
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Answered on Jul 6, 2023
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Dr. William Portuese, MD
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Timothy Osborn, MD

Swelling from a rhinoplasty can take up to 18 months to fully resolve. Usually about 95% is gone around 1 year. You absolutely have swelling 8 weeks postop. That being said, the bottom of your nose does tip off to the right side a little and you do have some bumps. Unfortunately I would wait at...

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Stephen J. Pincus, MD

My impression is that the blood vessels tend to get somewhat hyper-reactive from the surgical manipulation. I have been told that perhaps an IPL or laser treatment might help to remedy that situation. You should contact a dermatologist or plastic surgeon who has these forms of treatment and see...

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Stephen J. Pincus, MD

My experience is that at 7 months most of the swelling will have resolved and you should have a good idea about the general symmetry or lack thereof! Now having said that, there are cases where additional resolution can occur to produce a thinner and more elegant nose. And I've even seen changes...

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Eric M. Joseph, MD

If the area where your marked is soft to the touch, an additional steroid injection might be considered to reduce some persistent swelling. If it feels firm, it may be residual cartilage. Since you describe it as soft and compressible, please consult with your surgeon about performing an...

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Philip S. Schoenfeld, MD, FACS

I am not able to give you an exact answer without nasal photos and what the surgeons surgical plan is. I will say that 1 millimeter is almost nothing in terms of nasal tip support at the caudal septum. I would also add that removing 1 mm of cartilage will not correct a curved tip or caudal...

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Stephen J. Pincus, MD

It is hard to comment on specific issues without the luxury of seeing you in person or looking at better photos. However, that being said, many of the results you mention can be reversed to a greater or lesser degree. It should also be noted that in addition to cartilage being repositioned,...

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