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 :(
Answer: Breathing first! Hi Revision,You hit the nail on the head here- I tell all my patients that there's no good in having a "beautiful" nose if you can't breathe well! Yes, a revision septoplasty could be a good option for you. Some sort of cartilage graft (rib or cadaver) is a common option for revisions to help re-build integrity of the nose. If I were consulting with you, I would want to perform an internal nasal exam to see if surgical intervention would help or hurt your ability to breathe well.I wish you luck on your search for treatment!- Dr. Nik
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Answer: Breathing first! Hi Revision,You hit the nail on the head here- I tell all my patients that there's no good in having a "beautiful" nose if you can't breathe well! Yes, a revision septoplasty could be a good option for you. Some sort of cartilage graft (rib or cadaver) is a common option for revisions to help re-build integrity of the nose. If I were consulting with you, I would want to perform an internal nasal exam to see if surgical intervention would help or hurt your ability to breathe well.I wish you luck on your search for treatment!- Dr. Nik
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April 20, 2023
Answer: Revision rhinoplasty may be considered for a narrower straighter and better breathing nose. If you have adequate amounts of nasal septal cartilage after your first Rhinoplasty, This may be a better source of cartilage for nasal reconstruction than rib cartilage. Please consider Consulting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. Hope this helps! Dr Joseph
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April 20, 2023
Answer: Revision rhinoplasty may be considered for a narrower straighter and better breathing nose. If you have adequate amounts of nasal septal cartilage after your first Rhinoplasty, This may be a better source of cartilage for nasal reconstruction than rib cartilage. Please consider Consulting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. Hope this helps! Dr Joseph
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April 3, 2023
Answer: Revision rhinoplasty Hello! Thank you for your question.I have tried to evaluate your case from the photos and information you provided. It would be better of course if you can provide more photos but from what I can see, I recommend you a revision rhinoplasty surgery to correct your breathing issue and make your nose straighter. Please keep in mind that 100% symmetry is not achievable, but it would of course be better than now. When it comes to open or closed surgery, I cannot say anything for sure now without consultation, but from my experience I recommend you open revision rhinoplasty surgery with rib cartilage reconstruction. I understand that you may think it is too invasive, but believe me you won't even feel the incision (from where the rib would be removed) and it is the most successful method.
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April 3, 2023
Answer: Revision rhinoplasty Hello! Thank you for your question.I have tried to evaluate your case from the photos and information you provided. It would be better of course if you can provide more photos but from what I can see, I recommend you a revision rhinoplasty surgery to correct your breathing issue and make your nose straighter. Please keep in mind that 100% symmetry is not achievable, but it would of course be better than now. When it comes to open or closed surgery, I cannot say anything for sure now without consultation, but from my experience I recommend you open revision rhinoplasty surgery with rib cartilage reconstruction. I understand that you may think it is too invasive, but believe me you won't even feel the incision (from where the rib would be removed) and it is the most successful method.
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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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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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