I have had revision rhinoplasty 4 month ago to refine the bridge and the tip. I'm not happy with the upper portion of the nose bridge. My surgeon told me he could rasp the side of the nasal bone to make it narrower. he told me that breaking my nose a second time is not a good idea.. Im very septic about it. What do you think i should do? Thank you very much for your answers
Answer: Narrowing of the upper third of the nose may be achieved with osteotomies during rhinoplasty surgery. The bridge of the nose is similar to an A-Framed roof. When the bony bridge is lowered, there may be widening, hence the phrase - "open roof". In our experience, narrowing of the upper third of the nose may be achieved with osteotomies. Your close up photos are difficult to interpret. Since you have concerns, consider consulting with several rhinoplasty specialists so you could see what might be best for you. Hope this helps. Dr Joseph
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Answer: Narrowing of the upper third of the nose may be achieved with osteotomies during rhinoplasty surgery. The bridge of the nose is similar to an A-Framed roof. When the bony bridge is lowered, there may be widening, hence the phrase - "open roof". In our experience, narrowing of the upper third of the nose may be achieved with osteotomies. Your close up photos are difficult to interpret. Since you have concerns, consider consulting with several rhinoplasty specialists so you could see what might be best for you. Hope this helps. Dr Joseph
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October 11, 2016
Answer: Revision rhinoplasty for an open roof. It is too soon to say if this will get better or worse. You may need the bones narrowed and spreader grafts placed. See your surgeon in several months and discuss this with him. If dissatisfied seek a second opinion from a very experienced revision rhinoplasty surgeon.
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October 11, 2016
Answer: Revision rhinoplasty for an open roof. It is too soon to say if this will get better or worse. You may need the bones narrowed and spreader grafts placed. See your surgeon in several months and discuss this with him. If dissatisfied seek a second opinion from a very experienced revision rhinoplasty surgeon.
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Answer: Open Roof Deformity It's hard to tell if you have an open roof deformity from looking at a photo, but if you are unhappy with the width of the upper part of your nose, then this can generally be narrowed with osteotomies or breaking of the bones. Rebreaking the nasal bones is usually not a big concern. Please consult with a board certified specialist who can help you achieve the results you seek. 3-dimensional computer imaging can also help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
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Answer: Open Roof Deformity It's hard to tell if you have an open roof deformity from looking at a photo, but if you are unhappy with the width of the upper part of your nose, then this can generally be narrowed with osteotomies or breaking of the bones. Rebreaking the nasal bones is usually not a big concern. Please consult with a board certified specialist who can help you achieve the results you seek. 3-dimensional computer imaging can also help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
Helpful
October 11, 2016
Answer: Revision rhinoplasty again at one year The bridge line appears very flat and square top-ish, therefore an open roof may be present. To confirm an open roof requires an examination of the nose. To close the open roof requires osteotomies placed in the nasal bones which is acceptable after primary, secondary, or a tertiary rhinoplasty. Best to seek out a very experienced surgeon for best results. Revision rhinoplasty is a very difficult endeavor, and one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.
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October 11, 2016
Answer: Revision rhinoplasty again at one year The bridge line appears very flat and square top-ish, therefore an open roof may be present. To confirm an open roof requires an examination of the nose. To close the open roof requires osteotomies placed in the nasal bones which is acceptable after primary, secondary, or a tertiary rhinoplasty. Best to seek out a very experienced surgeon for best results. Revision rhinoplasty is a very difficult endeavor, and one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.
Helpful
October 11, 2016
Answer: Widened nasal bridge Widened nasal bridge can occur postoperatively and is due to residual bone that is left following rasping of the dorsum; this bone can fall into the sides of the nose and not completely removed; following resolution of your swelling, this material can then form back into a solid bone; this bone can easily be rasped out in the office under local anesthetic solution without the need for a full anesthetic surgery and unnecessary costs.
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October 11, 2016
Answer: Widened nasal bridge Widened nasal bridge can occur postoperatively and is due to residual bone that is left following rasping of the dorsum; this bone can fall into the sides of the nose and not completely removed; following resolution of your swelling, this material can then form back into a solid bone; this bone can easily be rasped out in the office under local anesthetic solution without the need for a full anesthetic surgery and unnecessary costs.
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