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Would fascia or AlloDerm be helpful to camouflage the middle part of nose after Septoplasty?

dunkindonutslover24Oct 22, 2021
I am a 36 female who had a septoplasty to fix my deviated septum but now have an inverted V. Planning on revision in Dec 2021. I am concerned about thin skin in middle of nose. Surgeon is planning on cartilage grafts but I wanted an opinion on alloderm or fascia over the graft due to thin skin and shrink wrap effect after rhinoplasty. If I were your patient, would you use Alloderm or fascia? Regarding cartilage used, would you use donor cartilage or my rib cartilage? I am concerned with chances of warping or extrusion of donor cartilage. Other areas of concern besides inverted V deformity are drooping tip and large flaring nostrils and dorsal hump. Any other suggestions or opinions on work needed?

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Dr. Stephen J. Pincus, MD
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Answered on Oct 24, 2021
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Dr. Eric M. Joseph, MD
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Jonathan Kulbersh, MD

Hello and thank you for your question. Based on the images, it does appear you might be a good candidate for revision rhinoplasty to correct the asymmetry of your nostrils. Keep in mind that revision procedures can be even more complex than your original surgery, so experience and expertise are...

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Farhan Taghizadeh, MD

Hello, and thanks for this question. It is normal for noses to take a very long time to heal after surgery. Remember, the goal of any surgery is progress, not perfection. It is unlikely that your nostrils would match, they may have had some asymmetry to begin with. The redness can be helped...

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Thomas A. Mustoe, MD, FACS

In some cases the lower nostril can be elevated with a minor office procedure and excision of tissue with a well hidden incision, and that can be done sooner than a year. The other approach which is more definitive is to do a formal revision with realignment if the tip cartilages through an...

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