11 months after rhinoplasty, are the asymmetries in my nasal bones/cartilages or just swelling (Photos)

Question

Please see pictures. Yes, my nose is huge and unrefined (not what was originally planned) but I'm asking about the asymmetry. My pre-op nose was very smooth looking but now I have unpleasant shadows, hollow (where the black arrow is pointed at in the picture). Thank you!

Eric M. Joseph, MD · Answer

The indentation along your left bridge may be filled permanently, depending on your examination. Overall you appear to have an improved nasal appearance after rhinoplasty. Wishing you well. Dr Joseph

Gerald Minniti, MD, FACS · Answer

Hello,You are looking at an 'inverted V deformity', associated with hump reduction without cartilage stabilization. In addition, there appears to be some asymmetry in the osteotomies, or bone cuts or where the bones were 'broken'.  Your tissue is thick and  your still have alar arching, which exposes your inner nostrils from the sides. If your surgeon isn't an ABPS certified/ASAPS member surgeon (or an AAFPRS equivalent) who specializes in revision rhinoplasty, and is expert at structural rhinoplasty, you should visit a few who are. Best of luck!

Johnson C. Lee, MD · Answer

Thank you for your photos. The shadows you are describing are part of an inverted-V deformity where the cartilage in the middle of your nose is not aligned properly. To fully correct these shadows another surgery would have to be performed and cartilage taken from your septum or ear to support the middle of the nose to recreate your smooth natural lines from before surgery. If you would prefer to avoid surgery. filler is a temporary option which can improve the appearance as well although touch ups would be needed over time. It is best to have an in-office examination to fully evaluate your nose as well as your breathing to determine the most effective and safest treatment plan for your case. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Jeffrey Jumaily, MD · Answer

At 11 months, there should be really no visible swelling remaining. What you see is probably the final result. The depression that you are looking at is 'inverted V' deformity which occurs if the upper lateral cartilages collapse a little bit. It this bothers you, talk to your surgeon or seek another consultation. It can be improved surgically if you decided to.

William Portuese, MD · Answer

The limited photographs demonstrate an outwardly displaced nasal bone, and  an inwardly displaced upper lateral cartilage creating the step off deformity. There is also a hanging columella present. A revision rhinoplasty can accomplish improvement both of these issues. To narrow the  outwardly displaced nasal bone will require an osteotomy. A spreader graft will most likely be needed for the inwardly displaced upper lateral cartilage. A columella-plasty will be required to reduce the hanging columella which involves removal of skin and cartilage  from the caudal septum. Revision rhinoplasty is more difficult than a primary rhinoplasty, so choose your  second surgeon wisely. For many examples and more information, please see link and the video below

David Alessi, MD - Account Suspended · Answer

Since you had an open rhino, the swelling in the tip can last for more than a year.  The nasal bone appears to be fractured out a little farther and the upper lateral cartilage is in a bit.  How much of the latter  is from swelling can only be determined during an in-office visit.  Seek out an opinion from a board-certified surgeon.  Best wishes.

11 months after rhinoplasty, are the asymmetries in my nasal bones/cartilages or just swelling (Photos)

Answers (6)

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