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Would I benefit from a revision for columella scarring? (Photo)

My sutures Were left in too long and I developed an infection at the incision site Resulting in tissue abnormality My columella Is lumpy And there is a depression where the suture was

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1820 Reviews
Answered on Apr 18, 2024
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More Revision Rhinoplasty Questions

Nose swelling won't go away- swelling or scar tissue? (Photo)

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Richard G. Reish, MD, FACS

Hello and thank you for your question. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, your tip is extremely over-rotated. Whereas some types of revisions I recommend waiting at least one year, for this type of revision I will do as soon as eight months post-op. The scar tissue needs to be released and extended...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from revision with tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement...

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Revision of a revision - can it be corrected again? (Photo)

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your frontal view only photographs, there appears to be some nostril asymmetry in the soft triangles after your second surgery. It would be important to further determine what bothers you and then an operative plan could be made to help. I...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to restore a more natural appearance of your nose. This typically involves release of all scar tissue, placement of extended spreader grafts to derotate your tip, and nasal tip deprojection. I...

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What can be causing my asymmetrical bridge slope and what can be done to correct it? (photos)

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Hello and thank you for your question. Based on your photographs, you appear to have collapse of the mid vault at the bony cartilage junction caused by your surgery. This can be corrected with spreader grafts and perhaps a facsial onlay graft. With good surgical technique, you could have an...

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