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When should I get my revision rhinoplasty if I have TMJ and jaw issues?

springbird75May 24, 2024
I need a revision rhinoplasty and septoplasty, but I have jaw issues--flat condyle on one side, bilateral TMJ arthritis, sclerosis of bone marrow, etc. The jaw issues are getting in the way of me being able to move forward with fixing my breathing (valve stenosis, septal deviation) and cosmetic issues. If my jaw issues are degenerative but not bad enough to warrant surgery now, how am I supposed to know when to get my revision rhinoplasty/septoplasty?

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on May 29, 2024
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Eric M. Joseph, MD

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You're 6 month post-operative photo may just be revealing a bit of persistent swelling above your tip. This is called supratip swelling. If this is the case, it may respond to a dilute steroid injection. In that regard, please consider bringing your concerns to the attention of your surgeon. I...

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Hello and thank you for your question. To lengthen an overrotated tip, I will release all scar tissue and place extended spreader grafts to de-rotate the tip using MTF Cartilage. For a dorsal onlay graft I always prefer mastoid fascial graft with diced cartilage. This has a much lower...

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