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Posted underRevision Rhinoplasty q&a

I had rhinoplasty, then a revision to remove internal scar tissue which created a small bump which has returned (Photo)

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sarahdonatoJul 4, 2023

The bump is preset on some days and not on others and can be massaged out. I did have Cortizone shots, which helped, but I was wondering if there is anything else I can attempt? Will fibroblast assist to tighten?

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on Jul 6, 2023
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Philip S. Schoenfeld, MD, FACS

I am not able to give you an exact answer without nasal photos and what the surgeons surgical plan is. I will say that 1 millimeter is almost nothing in terms of nasal tip support at the caudal septum. I would also add that removing 1 mm of cartilage will not correct a curved tip or caudal...

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Stephen J. Pincus, MD

It is hard to comment on specific issues without the luxury of seeing you in person or looking at better photos. However, that being said, many of the results you mention can be reversed to a greater or lesser degree. It should also be noted that in addition to cartilage being repositioned,...

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Gianfranco Frojo, MD

I would recommend a revision rhinoplasty with cadaveric fresh frozen cartilage. In addition, I would recommend placing some temporalis or posterior auricular fascia over the dorsum of the nose to help further camouflage the irregularities. This is a very complex issue that needs to be addressed...

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Eric M. Joseph, MD

Based on your photos, you appear to have some nostril asymmetry where you're right nostril margin appears a bit higher than your left. This is the main issue that is bothering you, depending on your examination, microdroplet Silikon-1000 injections maybe considered for lowering your right...

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Eric M. Joseph, MD

Based on your serial profile photos, you appear to have a pleasing and unoperated nasal appearance. There does not appear to be an excessive hanging of your columella. On your front view photo, the foot plates of your medial crurae are somewhat prominent. If that is what's bothering you,...

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Philip S. Schoenfeld, MD, FACS

An inverted, the deformity is the result of the descent of the upper lateral cartilages away from the nasal bones following a structured rhinoplasty, where usually a large hump is reduced. Correction of this deformity usually requires bilateral spreader grafts , which are obtained from the nasal...

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