I am now one year post-op. Something that has been bothering me this whole time is that my doctor used a very long columellar strut graft. I don’t like this for many reasons - it creates tension between my nose and top lip, making my smile look weird; it makes my tip more upturned than I would like; it makes the tip incredibly hard and uncomfortable; it’s so long that I can feel the bottom of it far down from my nose. How hard would it be to get it shortened/removed by a different doctor?
Answers (3)
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In a healthy patient who has been cleared for anesthesia then there is no reason they can not undergo anesthesia three months apart. I would see if you can have both of the surgeons perform the surgery on the same day so that you will have one recovery and also save money on anesthesia and op...
Yes, you can be helped. And surgery, with a cartilage graft, is one of your options. However, you should consider filler. Impossible to determine without a consultation but many people have had an imperfect columella fixed, without surgery, using filler. Best wishes.Robert Kotler, MD, ...
Swelling after rhinoplasty, especially revision rhinoplasty, can definitely take more than one year to settle. Changes are seen to the parents of the nose even years after the original surgery depending on the technique used. Thick skin takes longer for the edema to settle....
