Rhinoplasty graft is extremely crooked and flat again, will a cartilage graft (from my own body) solve the problem? (Photos)

Question

I had a rhinoplasty 3 years ago with bone breaking and bone graft 1 month after: the graft shifted and became totally crooked, underwent revision surgery that following week 3 months later: it started to shift again. and now after 2 years: it is extremely crooked and my nose looks flat and is no longer prominent ***I like everything else about my nose aesthetically The problem is the graft shifting Will getting a cartilage graft solve this problem? I don’t want to keep revising my nose with surgery ***

Nima Shemirani, MD · Answer

Dear aprime,It's tough to see exactly where your nose is crooked from the pictures you postedBone grafts can shift, and not commonly performed as much as they used toIf it was to build up your bridge, then we have other options like a diced cartilage graft The crooked nose may also be due to a high septal deviation that is unrecognized (usually the lower third of the nose is crooked in this scenario)Please see 2-3 revision rhinoplasty specialists to get an idea of what needs to be done. These are not simple surgeries and require special attentionBestDr Nima

Toby Mayer, MD · Answer

Third revision rhinoplasty?  A determination and not be made from the photos submitted. You need a full examination and a copy of the previous operative report to determine how successful they revision would be. See  several very experienced revision rhinoplasty surgeons who can show you  his results in many patients with noses like yours that he has done. .

Thomas A. Mustoe, MD, FACS · Answer

All grafts can change with time but bone grafts in particular resort with time.  Cartilage grafts can warp but rarely resort.  The chances are excellent you would get a long term fix with a revision using your own cartilage.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon regarding your healing process, and achieving your desired aesthetic result.
Best wishes,

Jeffrey Jumaily, MD · Answer

Revision rhinoplasty is a complex procedure as you have come to experience. It's hard to say for sure based on these photos what the best solution is. It's best to consult a rhinoplasty specialist to discuss the details and pros and cons of everything.

Rhinoplasty graft is extremely crooked and flat again, will a cartilage graft (from my own body) solve the problem? (Photos)

Answers (9)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Rhinoplasty graft is extremely crooked and flat again, will a cartilage graft (from my own body) solve the problem? (Photos)

Answers (9)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.