Uneven and bumps 2 years after rhino (Photo)

Question

Hi , I have very bad uneveneee almost 3 years after rhinoplasty. One side looks perfect. The other side looks terrible , especially when seen in certain lights. I did have very thick skin my doctor said. Is there a chance that this is swelling? Or is this how it will remain? Y I’ve also hittin a red Extremley hard bump on the uneven side, and the entire tip is still fully hard. Please help.

Caner Kacmaz, MD · Answer

Thank you for your question. Swelling would be completely gone and the look should be finalized after 3 years. In some cases, bone reaction occurs and sticks out on one side. That is a very easy fix. Your surgeon will be able to file the bone that is sticking out with local anesthesia at his clinic. It is a simple, short and painless procedure. Best of luck to you.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin nasal skin and thin skin is associated with the appearance of visible irregularities years after rhinoplasty surgery. Depending on your examination, microdroplet Silikon-1000 injections may be considered for filling in the indentations and for providing a permanently smoother nasal appearance. I hope this helps! Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of any plastic surgery procedure especially rhinoplasty surgery. We always need to see a complete proper set of before and after pictures. If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took. Your surgeon is also the best person to discuss the concerns regarding your outcome. It looks like you had a fairly aggressive rhinoplasty, and there are certain things that maybe you could’ve been done a little better.
Secondary rhinoplasty surgery or revision rhinoplasty surgery is much more complex and difficult than primary rhinoplasty surgery. Rhinoplasty surgery is by its very nature complex and fairly difficult. Patients should be extremely selective when choosing plastic surgeons for this type of procedure. For revision surgery provider selection becomes even more important.
The following are some general guidelines for finding the best provider. These tend to be applicable for both primary and secondary rhinoplasty surgery. Finding the right provider may take a significant amount of time and effort, scheduling multiple in person consultations.
Finding the right plastic surgeon.
One and a half months is not enough time to lose a substantial amount of weight if it's done in a healthy manner.
I'm going to include a write up that I did from my experience of seeing thousands of patients in regards to weight loss.
I personally lost 50 pounds in about eight years ago.
My write up his part for my own personal experience and party from interviewing patience.
Finding the right plastic surgeon is not easy.
I see medical professionals choosing surgeons they think are the best but in reality I only average.
The following are my recommendations for how to find a truly talented board-certified plastic surgeon.
Start with the website like yelp and write down the name of about 20 board-certified plastic surgeon's with excellent reviews and at least 20 reviews.
Next go to the following website and check for reviews on each of those doctors.Real self, rateMD.com, Vitals.com and WebMD.com
 A Doctor Who has organic reviews meaning they have not been manipulated should have an equal distribution of reviews on all various websites.
A Doctor Who has many reviews on a single website but few reviews on the other website showing indication that reviews may have been manipulated.
Yelp is the most difficult website to manipulate so it's a good one to start with.
Many doctors will encourage their patients to write reviews for them.
This may or may not include incentives for the patients.
These types of reviews are not considered organic and in my opinion are manipulated.
I've seen businesses that of been open for less than six months have close to 100 reviews.
I know some of the most talented doctors who been in practice for over 20 years have two or three reviews.
Doctors have a strong presence on social media are good at social media. This has no correlation with their surgical talent.
One of the most talented facelift surgeons in the world lives in San Francisco.
He is often booked up for more than six months.
He does not even have a website.
Plastic surgery is a competitive field and many plastic surgeons have sophisticated marketing teams.
Once you've isolated 10 doctors who seem have an overall excellent reputation you should schedule several in person consultations.
Even if you really like the first doctor you meet you should follow through and go through all of the consultations.
If the consultation is performed by a patient care coordinator or sales person then be leery.
If it seems like commission sales and that's what it is.
How much time did the doctor spend with you?
Did the doctor give you a realistic expectations or simply tell you how great you're going to look?
Reviewing before and after pictures is very important.
A talented plastic surgeon that has extensive experience with liposuction should have at least 30 to 40 before and after pictures of liposuction cases.
Ask to see results that are average excellent and not so good.
Ideally you should ask to see 10 consecutive cases but it is unlikely he will be able to get that.
Price is important but there is little correlation to talent and price.
That said the doctors who give bargain basement prices are probably not the ones you want to go to.
Ask each doctor with their revision rate is.
Doctors or highly committed to getting the best results should have a low threshold for doing a revisions.
Doctors who claim they never do revisions are either not true patient advocates or not being honest.
Ask each doctor what your policy is for revisions.
Who pays for it?
If fairly common practice is the doctor will not charge for revisions but may ask the patient to pay for all or some of operating room or Anastasia fees if they're needed.
Review what each of the plastic surgeons offered and use your gut instinct of who to go with your gut instinct.
I hope you find it helpful.
Best,
Mats Hagstrom M.D.

Uneven and bumps 2 years after rhino (Photo)

Answers (4)

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