Cartilage sticking out through my nose - 3 months post-op.

Question

Yeah long story short. I had a rhinoplasty, and I have cartilage sticking out through my nose inside my nostrils. I can feel it and even see it. It's white and it's definitely there. It's been 3 months since my rhino. What do I do? Why does this happen? Is it my surgeons fault?

Tanveer Janjua, MD · Answer

Cartilage can sometimes move and protrude inside the nasal passages. It can be easily trimmed under local anesthesia. It can happen on its own unrelated to the surgical skill of the surgeon. RegardsDr. Janjua

Pejman Aflaki, MD · Answer

Hello and thank you for the question. It would be impossible to give you advice without examining you and seeing before and after photographs. There are a number of things that could be in play here, including a persistent deviated caudal septum or a displaced cartilage graft (if one was used) among others. Your surgeon is the best person to advise you on this. It would be best to delay any revision at this point to allow tissues to heal. Best,
Pejman Aflaki, M.D.
Johns Hopkins-trained plastic surgeon

Philip Solomon, MD, FRCS · Answer

Its difficult to comment without photos or physical exam.  It is possible that you have a residual deviated septum which extends to the front of the nostril.  This can. occur and may require further corrective surgery after a year of healing.

Basim A. Matti, MBChB FRCS · Answer

Hi, and thank you for your question. I'm sorry that you're experiencing problems following your rhinoplasty. It's impossible to tell what the issue is without an examination, and so I strongly suggest that you meet with your surgeon who will be able to examine you and offer a plan going forward, if appropriate. Wishing you all the best.

Ron B. Somogyi, MD · Answer

Thanks for your question. This is definitely not ideal and needs to be followed up properly. There are multiple reasons for palpable or visible cartilage after rhinoplasty but all of them can and should be addressed. If this is present at this point it will likely not resolve on its own and should be revised after everything has completely healed. This should be assessed by the original surgeon As only they are the one that knows exactly where cartilage has been removed and or placed. If you or they are uncomfortable with revision surgery, this should be reassessed by a surgeon familiar with secondary rhinoplasty surgery.

Anup Dhir, MD · Answer

Thank you for your question. It is not possible to comment without a physical examination. Please consult your surgeon for advice.

Steven Wallach, MD · Answer

You need to review this with your surgeon. I can  not say without seeing you or knowing what surgery was done. It may be a support graft along the alar rime, in which case it may need to stay like that.

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