I am 5m post primary rhinoplasty. Breathing through one nostril is 50% obstructed. Directly after surgery there was a small lump, which probably was a small hematoma which wasn't drained. Now there is a stiff bulge right below the place where you can see the scar, parallel to lateral crus. The wall is sagging because of it. My surgeon prescribed 3 rounds of steroid injections to deal with edema and fibrosis. Can it be that UCL strut could ve been placed unilaterally and caused the bulging?
October 9, 2019
Answer: Rhinoplasty Question Dear Jim85,Thank you for your question. It is hard to give you a defintive answer based off that one photo and the information you have provided. A strut graft is not normally used for primary rhinoplasties. There is probably a discrepancy in the symmetry of your LLCs. In any case, you will need to wait a year for any tip swelling to fully resolve before considering a secondary surgery.Good luck,Nirmal R. Nathan, M.D.
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October 9, 2019
Answer: Rhinoplasty Question Dear Jim85,Thank you for your question. It is hard to give you a defintive answer based off that one photo and the information you have provided. A strut graft is not normally used for primary rhinoplasties. There is probably a discrepancy in the symmetry of your LLCs. In any case, you will need to wait a year for any tip swelling to fully resolve before considering a secondary surgery.Good luck,Nirmal R. Nathan, M.D.
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October 8, 2019
Answer: Rhinoplasty There is an asymmetry in the domal and lower lateral cartilages that is causing the alar hang on one side and not the other. Whether this is causing the obstruction would need to be diagnosed by seeing how the nose changes with inspiration. If there is collapse of the bridge cartilage vs the tip cartilage vs some septal deviation. A revision to correct this asymmetry would be recommended.
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October 8, 2019
Answer: Rhinoplasty There is an asymmetry in the domal and lower lateral cartilages that is causing the alar hang on one side and not the other. Whether this is causing the obstruction would need to be diagnosed by seeing how the nose changes with inspiration. If there is collapse of the bridge cartilage vs the tip cartilage vs some septal deviation. A revision to correct this asymmetry would be recommended.
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