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Can Medial and Lateral Osteotomies Be Reversed in a Revision Rhinoplasty? (photo)

Pepper123Oct 14, 2013
I had a rhinoplasty a year ago for a deviated septum and both medial and lateral osteotomies were performed. Problem is that nose was naturally deviated and looked better prior. These left the middle bones of my nose raised too high and nose now also too wide. Can these be reversed so that my nose returns to it's original state (height and width) so that it can be basically laid lower closer down on face? These procedures also caused my tip to droop and turn down and spreader grafts were used.

Answers (3)

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Dr. Steven J. Pearlman, MD, FACS
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Dr. Steven J. Pearlman, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Aug 8, 2019
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Dr. Manish H. Shah, MD, FACS
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Dr. Manish H. Shah, MD, FACS
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Answered on Oct 14, 2013
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Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Oct 21, 2013
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Jonathan Kulbersh, MD

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William D. Losquadro, MD

A long nose is often the result of a droopy tip, so elevating the tip will make the nose look shorter.  This is best accomplished under general anesthesia so that the tip can be properly fixated to the septum or a cartilage graft.  A properly fixated tip will not change position over time.

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Paul S. Nassif, MD

In general, 70% of the swelling is resolved after the first 3 months and the remainder goes down over time. You will still have swelling after 4 weeks that can affect the appearance of your result, and the tip is usually the last to come around. The final result may not be evident for 18-24...

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Paul S. Nassif, MD

Hello, and sorry to hear you are not happy with your surgery. It is difficult to provide you with specific advice without seeing any photos. The degree to which a nose can be made smaller depends on the individual circumstances of the patient, and an exam would be necessary to answer your...

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Paul S. Nassif, MD

Wearing your retainer will not have a negative impact on your healing or your surgery. I would recommend following up with your surgeon regarding any specific post-operative guidelines. I hope this helps, and best of luck with the remainder of your recovery. 

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