I had a failed rhinoplasty. I still have a deviated septum and crooked nose. surgeons have suggested a revision rhinoplasty with rib grafts but that sounds intimidating and invasive to me. One surgeon with over 30 years of experience mentioned that he could straighten my nose without using a rib graft successfully and correct my deviated septum, so I could breathe. Is this something I should trust? I just want to be able to breathe and would appreciate if my nose was in crooked :(
April 3, 2023
Answer: Closed vs Open Rhinoplasty Hello! Thanks for your photos and questions. Straightening a nose is very difficult. Many times, not only bony work needs to be performed, but major septal reconstruction as well. Grafting material from the septum or rib is used to straighten the cartilage and provide support. I find open structure to be the most conducive to accomplishing that goal. Closed approaches provide limited access and can serve a role in rhinoplasty, though more limited compared with open in my opinion. Keep researching and meeting with surgeons who perform both types to see who you feel most comfortable with. Best of luck!
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April 3, 2023
Answer: Closed vs Open Rhinoplasty Hello! Thanks for your photos and questions. Straightening a nose is very difficult. Many times, not only bony work needs to be performed, but major septal reconstruction as well. Grafting material from the septum or rib is used to straighten the cartilage and provide support. I find open structure to be the most conducive to accomplishing that goal. Closed approaches provide limited access and can serve a role in rhinoplasty, though more limited compared with open in my opinion. Keep researching and meeting with surgeons who perform both types to see who you feel most comfortable with. Best of luck!
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March 30, 2023
Answer: Revision Rhinoplasty Hi @Revision616. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Rib harvesting is sometimes necessary in revisions if the septum and supporting cartilage of the nose have been weakened. This will give more strength and support to the nose. Rib harvesting is commonly used in revision procedures. Best of luck to you, Dr. Nima!
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March 30, 2023
Answer: Revision Rhinoplasty Hi @Revision616. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Rib harvesting is sometimes necessary in revisions if the septum and supporting cartilage of the nose have been weakened. This will give more strength and support to the nose. Rib harvesting is commonly used in revision procedures. Best of luck to you, Dr. Nima!
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