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Revision Rhinoplasty: Would a graft or filler help? (photos)

m4rc0Jan 23, 2022
Hi there, I'm a man in my 30s and I'm considering a revision rhinoplasty. My first doctor ended up removing a fair amount of cartilage, including the entire upper lateral cartilage on one side and some of my septum. My primary concern now is the hanging columella/nostril show issue (would you recommend a columella reduction and/or alar rim grafts?). My secondary concern is the divot on my nose bridge, which gives it a particularly odd shape on 3/4 view (Would a graft work? Filler?). Thank you!

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From board-certified doctors and trusted medical professionals
Dr. Suk Ho Yoon, MD - Account Suspended
Plastic Surgeon
Answered on Feb 8, 2022
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Sukhbir Singh, MBBS, MS, DNB

Hi dear thanks for your query, as I can see alar retraction is present. well that requires an alar rim graft to correct the deformity. now the concern is where to get the graft from, septum looks rules out since u had an extensive nasal work. what we can do for u is that we can take out...

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Jonathan Kulbersh, MD

Hello and thank you for your question. Unfortunately, a hanging columella is quite common without ample support for the tip. If your original surgeon didn’t use a septal incision graft or a columellar strut, the columella may have descended during the healing process. However, this should not b...

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Eric M. Joseph, MD

Rhinoplasty, especially revision, is an emotional rollercoaster and in our experience it may take months to "get used to" your new nose. I wouldn't think about another surgery at this point. Hope this helps! Dr Joseph

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