Hi, I had rhinoplasty surgery around 3 years ago and the post-operative result was extremely dissapointing! I went into surgery with the request to get rid of my bump as you can see from the pre-operative image, however as you can see in the post-op pictures my nose was left deviated. I was wondering if anyone can tell me what they think went wrong, how this coud be fixed and roughly how much it will cost for revision surgery? All I want is a natural looking nose.
December 31, 2015
Answer: Postoperative rhinoplasty I am sorry to hear you had a bad experience with your rhinoplasty. Thank you for sharing your experiences and pictures. You have what we call a "saddle nose" deformity. The nose functions like a house. It has to have a strong foundation for the house to stay up. The nose has the septum as one of the main supports. The septum is what divides the internal nasal structure in half(that's why you can block one nostril and still be able to breath out of the other side. A saddle nose occurs when one has resected too much septum, thus the nose essentially 'falling down.' There is also a result, with the loss of the septal support, midvault collapse causing an 'inverted V' deformity. The inverted V, as a result of the middle part of your nose collapsing, is compromised of the lower portion of your nasal bone being more prominent. You might even be complaining of subjective breathing problems because of all this.A revision rhinoplasty will compromise of building up your nasal bridge again. This will require cartilage grafts. This is where you should ask your PS what their preference is because there are a number of different approaches. There is the rib cartilage graft where they use your rib's cartilage to build up your nose. There are also doctors who use cadaveric rib which is nice and won't subject someone to chest pain post rib harvest. There are others who also use 'alloplastic' implants synthetically made to mimick the nasal dorsum bridge however an argument against them is a high extrusion rate. I hope this helps and good luck. -Dr. Miguel
Helpful 1 person found this helpful
December 31, 2015
Answer: Postoperative rhinoplasty I am sorry to hear you had a bad experience with your rhinoplasty. Thank you for sharing your experiences and pictures. You have what we call a "saddle nose" deformity. The nose functions like a house. It has to have a strong foundation for the house to stay up. The nose has the septum as one of the main supports. The septum is what divides the internal nasal structure in half(that's why you can block one nostril and still be able to breath out of the other side. A saddle nose occurs when one has resected too much septum, thus the nose essentially 'falling down.' There is also a result, with the loss of the septal support, midvault collapse causing an 'inverted V' deformity. The inverted V, as a result of the middle part of your nose collapsing, is compromised of the lower portion of your nasal bone being more prominent. You might even be complaining of subjective breathing problems because of all this.A revision rhinoplasty will compromise of building up your nasal bridge again. This will require cartilage grafts. This is where you should ask your PS what their preference is because there are a number of different approaches. There is the rib cartilage graft where they use your rib's cartilage to build up your nose. There are also doctors who use cadaveric rib which is nice and won't subject someone to chest pain post rib harvest. There are others who also use 'alloplastic' implants synthetically made to mimick the nasal dorsum bridge however an argument against them is a high extrusion rate. I hope this helps and good luck. -Dr. Miguel
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December 31, 2015
Answer: Revision rhinoplasty needed Unfortunately you have a very poor result from your previous rhinoplasty with an obvious operated looking postoperative distortion.It appears that the previous operation was an amputation of the dorsal hump without proper structural reconstruction leaving a disjunction between the tip and upper dorsum as well as an inverted V deformity and polybeak. Correction of this would require substantial rebuilding of your nasal structure using cartilage grafts particularly over and around the mid-dorsal area and septum as well as rebalancing the tip. There are some great rhinoplasty surgeons in Melbourne and Geelong who would be able to advise you regarding your options. I would avoid whoever did this operation on you previously. Take your time choosing your surgeon and perhaps get a couple of opinions from experienced rhinoplasty surgeons.
Helpful 1 person found this helpful
December 31, 2015
Answer: Revision rhinoplasty needed Unfortunately you have a very poor result from your previous rhinoplasty with an obvious operated looking postoperative distortion.It appears that the previous operation was an amputation of the dorsal hump without proper structural reconstruction leaving a disjunction between the tip and upper dorsum as well as an inverted V deformity and polybeak. Correction of this would require substantial rebuilding of your nasal structure using cartilage grafts particularly over and around the mid-dorsal area and septum as well as rebalancing the tip. There are some great rhinoplasty surgeons in Melbourne and Geelong who would be able to advise you regarding your options. I would avoid whoever did this operation on you previously. Take your time choosing your surgeon and perhaps get a couple of opinions from experienced rhinoplasty surgeons.
Helpful 1 person found this helpful
