I have done two rhinoplasty surgeries for my deviated septum. After my first surgery, i went to see another doctor who I told my septum wasn't completely fixed and that my nose was caved in on the left side. I believe he tried to fix the appearance of my nose but I don't see much change besides the tip which is a little lifted. I'm starting to think that there is no hope in getting my nose to look normal. Will nose fillers be something that will help? Should I go back to my surgeon?
Answer: Revision Rhinoplasty: A Solution to Correct Previous Surgical Mistakes Hello:Thank you for your question regarding your deviated septum and for posting photos of what it is that is concerning you with the form and function of your nose. I do see the concavity you are referring to and it also looks as if the tip of your nose is beginning to shift. You are most likely a candidate for a revision rhinoplasty. The correction of a deviated septum involves the realignment of the nasal wall between your nostrils. This is called the septum. The technical term to correct and straighten a deviated septum is called septoplasty surgery. A deviated septum is the most common condition which not only impedes your breathing but also contributes to a crooked shape or concavity.There is no one size fits all approach to nose job surgery. I often tell patients, "Shakespeare never wrote a sonnet about the nose." In my experience of over 20 years in the field of facial plastic surgery, I can assure you that when considering a secondary or third revision to your nose, experience and board certification in facial plastic surgery is of the utmost importance. I would encourage you to do your research on surgeons that specialize in revision rhinoplasty and to seek out the advice of more than one surgeon when you go on consultations. I am including a website link that discusses revision rhinoplasty as well as a video that shows a patient who I see for their 3 week follow-up appointment. If you have any questions, please feel free to contact our New York City office and we would be happy to answer as many of your questions as we can.Sincerely,Philip J. Miller, MD, FACSDouble Board Certified Facial Plastic Surgeon
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CONTACT NOW Answer: Revision Rhinoplasty: A Solution to Correct Previous Surgical Mistakes Hello:Thank you for your question regarding your deviated septum and for posting photos of what it is that is concerning you with the form and function of your nose. I do see the concavity you are referring to and it also looks as if the tip of your nose is beginning to shift. You are most likely a candidate for a revision rhinoplasty. The correction of a deviated septum involves the realignment of the nasal wall between your nostrils. This is called the septum. The technical term to correct and straighten a deviated septum is called septoplasty surgery. A deviated septum is the most common condition which not only impedes your breathing but also contributes to a crooked shape or concavity.There is no one size fits all approach to nose job surgery. I often tell patients, "Shakespeare never wrote a sonnet about the nose." In my experience of over 20 years in the field of facial plastic surgery, I can assure you that when considering a secondary or third revision to your nose, experience and board certification in facial plastic surgery is of the utmost importance. I would encourage you to do your research on surgeons that specialize in revision rhinoplasty and to seek out the advice of more than one surgeon when you go on consultations. I am including a website link that discusses revision rhinoplasty as well as a video that shows a patient who I see for their 3 week follow-up appointment. If you have any questions, please feel free to contact our New York City office and we would be happy to answer as many of your questions as we can.Sincerely,Philip J. Miller, MD, FACSDouble Board Certified Facial Plastic Surgeon
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CONTACT NOW January 3, 2017
Answer: Depression mid nose This looks mostly like a depression of the upper lateral cartilage in this area. It can be corrected with a spreader graft which involves taking cartilage from your septum or ear to place between the septum and upper lateral cartilage. If there are no breathing problems one could simply place some bruised cartilage beneath this area in a precise pocket. If you didn't want a permanent surgical correction you could just consider fillers for the time being.
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CONTACT NOW January 3, 2017
Answer: Depression mid nose This looks mostly like a depression of the upper lateral cartilage in this area. It can be corrected with a spreader graft which involves taking cartilage from your septum or ear to place between the septum and upper lateral cartilage. If there are no breathing problems one could simply place some bruised cartilage beneath this area in a precise pocket. If you didn't want a permanent surgical correction you could just consider fillers for the time being.
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January 1, 2017
Answer: How to fix caved in nose Hi and thanks for your question and photos. You appear to have a depressed upper lateral cartilage on the left side which is causing the depression. I would borrow cartilage from your septum if there is still adequate cartilage there or from behind your ear to do an onlay graft over the existing upper lateral cartilage.
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CONTACT NOW January 1, 2017
Answer: How to fix caved in nose Hi and thanks for your question and photos. You appear to have a depressed upper lateral cartilage on the left side which is causing the depression. I would borrow cartilage from your septum if there is still adequate cartilage there or from behind your ear to do an onlay graft over the existing upper lateral cartilage.
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January 1, 2017
Answer: Would I be able to fix my caved in nose? The caved- in the component appears to be a concave upper lateral cartilage on the patient's left side. A spreader graft composed of the patient's own cartilage can be placed in this area to build it out so that it looks like the opposite side. This is a rhinoplasty procedure, not a septoplasty procedure. A rhinoplasty procedure is not performed for a deviated septum. For more information about the differences between a rhinoplasty and septoplasty, please see the video below
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CONTACT NOW January 1, 2017
Answer: Would I be able to fix my caved in nose? The caved- in the component appears to be a concave upper lateral cartilage on the patient's left side. A spreader graft composed of the patient's own cartilage can be placed in this area to build it out so that it looks like the opposite side. This is a rhinoplasty procedure, not a septoplasty procedure. A rhinoplasty procedure is not performed for a deviated septum. For more information about the differences between a rhinoplasty and septoplasty, please see the video below
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January 2, 2017
Answer: Revision rhinoplasty by an experienced plastic surgeon would be best. I don't think going back to either surgeon would be a good idea. The asymmetry was created by them and it's not from septal cartilage work. You would benefit most from a revision rhinoplasty by an experienced rhinoplasty surgeon, who should give you precise understanding of why your nose looks the way it looks now and what would be needed to correct these problems. Fillers can help but only if you never wanted to have another operation. The best thing to do is to be evaluated by a board certified plastic surgeon, who has experience in correcting the problems that you have. Good luck!
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January 2, 2017
Answer: Revision rhinoplasty by an experienced plastic surgeon would be best. I don't think going back to either surgeon would be a good idea. The asymmetry was created by them and it's not from septal cartilage work. You would benefit most from a revision rhinoplasty by an experienced rhinoplasty surgeon, who should give you precise understanding of why your nose looks the way it looks now and what would be needed to correct these problems. Fillers can help but only if you never wanted to have another operation. The best thing to do is to be evaluated by a board certified plastic surgeon, who has experience in correcting the problems that you have. Good luck!
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