I have done Revision Rhinoplasty with Ear Cartilage graft 3 weeks ago. After 5 days my splint was removed I noticed the graft is more on the left side . I was told by doctor to do a special massage . I don't know wether I am panicking and it need some time to settle or I need a revision . My doctor said it should be fine but if it doesn't change in three month he will fix it . This is really stressing me out :( so I need an advice from experts .
August 2, 2017
Answer: Early Deformity after Revision Rhinoplasty: Do I need to do something? Good Day. Thank you for your question. I understand your anxiety, especially with the photographic appearance.Frequent followup visits are important so you and your surgeon can judge if your massage and swelling resolution is approaching your desired outcome.However, given the description of your procedure (ear cartilage graft to your nasal dorsum), it does appear that the cartilage graft has been displaced to the left side. Early revision may be best to minimize the difficulty with scar dissection and replacement of the graft to a more optimal position.While I was at Stanford University, we showed that early intervention prior to five weeks was essential or waiting to 2 1/2 to 3 months. The dissection during the interval period is extremely difficult.Your surgeon can discuss the advantages and disadvantages of surgery at this time. Since he/she is the surgeon who completed the procedure, your surgeon is the best to determine if and when the revision should be contemplated or performed.In summary, see your rhinoplasty surgeon and receive the surgeons guesstimate on resolution with or without intervention. All concerns can be treated. Close followup is essential to give the most options when a less than optimal result occurs.
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August 2, 2017
Answer: Early Deformity after Revision Rhinoplasty: Do I need to do something? Good Day. Thank you for your question. I understand your anxiety, especially with the photographic appearance.Frequent followup visits are important so you and your surgeon can judge if your massage and swelling resolution is approaching your desired outcome.However, given the description of your procedure (ear cartilage graft to your nasal dorsum), it does appear that the cartilage graft has been displaced to the left side. Early revision may be best to minimize the difficulty with scar dissection and replacement of the graft to a more optimal position.While I was at Stanford University, we showed that early intervention prior to five weeks was essential or waiting to 2 1/2 to 3 months. The dissection during the interval period is extremely difficult.Your surgeon can discuss the advantages and disadvantages of surgery at this time. Since he/she is the surgeon who completed the procedure, your surgeon is the best to determine if and when the revision should be contemplated or performed.In summary, see your rhinoplasty surgeon and receive the surgeons guesstimate on resolution with or without intervention. All concerns can be treated. Close followup is essential to give the most options when a less than optimal result occurs.
Helpful
