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1.5 year post-op rhinoplasty. Minor revision recommended by primary surgeon. What needs to be done? (photos)

Kc00Aug 31, 2022
1.5 year post op from septorhinoplasty. A dorsal hump reduced slightly and cartilage placed in depressed area to straighten. Filler was placed a few times. I am recommended a minor procedure in the OR to rasp down the dorsal irregularities. I have concerns that this is an open roof and I would either need a fascia overlay or osteotomy. I don’t want a wide, flat area. I also have concerns regarding cartilage tip that is irregular, however surgeon feels this is fine.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Sep 1, 2022
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Bianca Knoll, MD

Thank you for posting your pictures and your question. By this time, it is likely that your tip remains in a similiar position. I agree with you, that a less rotated nasal tip would look better. Your dorsum looks beautiful, and is very nicely defined. Your result would match much better, if the...

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Nima Shemirani, MD

Hi @B123Mom. I recommend an in person consultation with your plastic surgeon to discuss treatment options. Best of luck, Dr. Nima

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David M. Kowalczyk, MD, MBA, FACS

Good Afternoon! The red and white bumps on your nose may be a dermatologic issue unrelated to your prior rhinoplasty. At 9 years post procedure, it would be very unusual to have an infection or issue with compromised skin occur, especially from cartilage as soft as ear. A topical steroid cream...

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