Restoring contour and bridge height in revision rhinoplasty?

Question

I am a year post-op after a revision rhinoplasty (the only revision I’ve had). The surgeon did very beautiful work. However, now that most of the swelling has subsided, I am trying to determine if I require additional height and contour on the bridge. What is the least amount of height that can be added with an onlay graft? If this can be accomplished with no more work done to the tip, and the operation is performed in the ‘closed’ fashion, would the tip still swell?

Toby Mayer, MD · Answer

Revision rhinoplasty for adding slightly to bridge. Yes this can be done via the closed technique without tip work. See several experienced revision rhinoplasty surgeons whose revisions you like for an evaluation of your nose.

William Portuese, MD · Answer

There's always a risk versus reward ratio and undergoing a difficult  revision surgical procedure on the nose. It's also important to know if there's any cartilage left on the inside of the nose for potential grafting purposes. Grafting to the bridge of the nose can be performed with a closed rhinoplasty approach, however full healing after a revision rhinoplasty with cartilage graft will take a year, including  swelling in the nasal tip.

Richard W. Fleming, MD (retired) · Answer

As littlw as 1-2 move bridge augmentation can be achieved depending on the graft and thickness added. This can usually be done using the closed technique but i recommend you submit pictures or see a revision specialist to review your options.

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