I'm starting to meet with doctors to discuss revision rhinoplasty. My primary concern is uneven nostrils which seems addressable - which is a relief. My secondary concern however is my bridge which was originally high and slightly concave - now very low. This does not seem fixable from meeting with two doctors. Both advised against it - that any graft would be extremely hard to smooth and look natural because skin is so thin at the bridge. Do you all agree?
March 29, 2023
Answer: Raising Bridge Hi there! Thanks for your questions. Raising the bridge with thin skin can be done though I agree you have to pay great attention to imperfections which may "show-through" in the future. I often employ temporalis fascia to provide a "buffer" and help smooth the bridge. This does initially create some swelling and a pink-hue over the skin but does contract overtime and helps to provide camouflage. As for grafts, some use rib while others prefer DCF. There are pros and cons to both. Hope this helps!
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March 29, 2023
Answer: Raising Bridge Hi there! Thanks for your questions. Raising the bridge with thin skin can be done though I agree you have to pay great attention to imperfections which may "show-through" in the future. I often employ temporalis fascia to provide a "buffer" and help smooth the bridge. This does initially create some swelling and a pink-hue over the skin but does contract overtime and helps to provide camouflage. As for grafts, some use rib while others prefer DCF. There are pros and cons to both. Hope this helps!
Helpful
March 27, 2023
Answer: Revison Rhinoplasty Hi @Practical8751! A low dorsum can be raised using finely diced cartilage. I recommend seeing a revision rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. Best of Luck, Dr. Nima!
Helpful
March 27, 2023
Answer: Revison Rhinoplasty Hi @Practical8751! A low dorsum can be raised using finely diced cartilage. I recommend seeing a revision rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. Best of Luck, Dr. Nima!
Helpful