Or a open roof deformity? A surgeon told me that I have a depression where too much of the bridge was removed and he wanted to put fillers in my nose, but I declined. My bridge used to look thinner between my eyes and more raised up before. Can this be fixed??? I am concerned
January 29, 2016
Answer: Open roof deformity after rhinoplasty Yes, it does appear that you have an open roof deformity. This occurs when the bridge is taken down and the bones are not properly narrowed inwards to close the open roof. In addition, spreader grafts can prevent this from occurring by propping up the cartilage sidewalls so that they do not fall in and cause collapse of the middle third of your nose. The good news is that this can be fixed but it does require a revision nose surgery. I would advise that you visit with a rhinoplasty surgeon that specializes and performs many rhinoplasties each year.
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January 29, 2016
Answer: Open roof deformity after rhinoplasty Yes, it does appear that you have an open roof deformity. This occurs when the bridge is taken down and the bones are not properly narrowed inwards to close the open roof. In addition, spreader grafts can prevent this from occurring by propping up the cartilage sidewalls so that they do not fall in and cause collapse of the middle third of your nose. The good news is that this can be fixed but it does require a revision nose surgery. I would advise that you visit with a rhinoplasty surgeon that specializes and performs many rhinoplasties each year.
Helpful
January 28, 2016
Answer: Rhinoplasty revision options Thank you for the question and the photos. I suspect what is occurring with regards to your bridge is the following:upper lateral cartilages (side walls) have dropped downnasal bones not narrowed enough+/- dorsal lowered too muchTo repair this spreader grafts and and re-fracture of the nasal bones would be needed. Dorsal augmentation with diced cartilage graft may be needed as well to repair the height of the dorsum. With regards to the nasal tip, the "pinched" look is likely secondary to the amount of cartilage removed from the lower lateral cartilages. This can be addressed with cartilage grafts as well.All the best,Dr. Remus Repta
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January 28, 2016
Answer: Rhinoplasty revision options Thank you for the question and the photos. I suspect what is occurring with regards to your bridge is the following:upper lateral cartilages (side walls) have dropped downnasal bones not narrowed enough+/- dorsal lowered too muchTo repair this spreader grafts and and re-fracture of the nasal bones would be needed. Dorsal augmentation with diced cartilage graft may be needed as well to repair the height of the dorsum. With regards to the nasal tip, the "pinched" look is likely secondary to the amount of cartilage removed from the lower lateral cartilages. This can be addressed with cartilage grafts as well.All the best,Dr. Remus Repta
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