In need of revision rhinoplasty after a 2016 surgery gone wrong, I'm deciding between 2 skilled surgeons. The first, with 25+ years of experience, proposes an open approach, emphasizing 95% success chance, the need for spreader grafts, and also claims closed is a bad approach. The second, with 35+ years of experience, suggests that the closed approach will work fine, assuring improvement w/o grafts. Both received many positive patient reviews that I personally contacted too. Who to pick?
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Answers (5)
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February 2, 2024
Answer: Based on your photos, you may indeed require a spreader graft on your left.
It’s hard to understand what the problem is based on the pictures and what you describe. I suggest you follow up with your rhinoplasty surgeon if you have concerns regarding the outcome of the procedure.
Best,
Mats Hagstrom, MD.
Generally, repair of nasal stenosis involves cartilage grafting of the internal nasal valves or external nasal valves. Depending on how these grafts were placed, a slightly wider nasal appearance may ensue. If you're breathing is better after the surgery, it may be prudent to leave them alone...
The easiest solution might be to have your bridge raised several millimeters. In our practice we utilize microdroplet Silikon-1000 to Fill indentations and to raise a nasal bridge. Temporary fillers may be applicable as well depending on your examination. I hope this helps! Sincerely, Dr Joseph