Hello Doctors, I had a primary rhinoplasty in 2020, which addressed a dorsal hump but didn’t fully resolve my concerns. My nasal tip remains bulbous and droopy, so I’m planning to undergo a revision rhinoplasty. During a recent CT scan of my head (done for unrelated reasons), I discovered how deviated my septum is (see pictures). This aligns with my ongoing symptoms: nasal resistance and loud breathing. I don’t believe the septum was addressed during my rhinoplasty, breathing didn’t improve or worsen post-op. Given these factors, I’m wondering: 1. Would it be advisable to combine a septoplasty with the revision rhinoplasty? 2. Could a septoplasty improve, or could it worsen some of the external asymmetry of my nose? 3. Should I thus prioritize finding a surgeon experienced in both functional and cosmetic revision rhinoplasty? I truly appreciate your time and insights. Thank you in advance.
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Answers (1)
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Hello and thank you for your question. The best way to augment the radix is with diced cartilage wrapped in fascia. This is the safest way to do this with the least risk of malposition. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate...
It's difficult to tell exactly from the one view that is supplied, but yes, indented areas can be "popped out." The middle third can be made a bit wider at the same time. Probably ear cartilage would be carefully shaped into spreader and onlay grafts to accomplish this. Be sure to see a few...
Hello and thank you for your question. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include columellar excision, nasal tip deprojection, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend...