Can a revision rhinoplasty remove spreader grafts & infracture nasal bones to restore orignal bridge and tip narrowness? (Photo)

Question

I am 2 1/2 years post op surgery to fix a slightly deviated septum. The surgery was a failure whereas my intentions were for surgery purely for cosmetic reasons, however, doctor performed bridge widening osteotomies and installed spreader grafts to increase turbinate size and breathing instead. Can this be error be repaired and grafts removed to make nose smaller and less wide as was prior?

William Portuese, MD · Answer

A revision rhinoplasty can accomplish removing of spreader grafts from previous surgery and infracturing the nasal bones, and narrowing the tip.  To straighten and widen the the current nose will require  reverse osteotomies and spreader graft placement on the left side.

Steven Wallach, MD · Answer

It can be difficult to restore you nose to its previous shape.  Spreader grafts are used for a number of reasons but do make the mid vault a bit wider.  Removing them may cause a curvature to return and may affect your breathing.

Dennis Barek, MD (retired) · Answer

Your problem is not spreader grafts, but what looks like the failure of the left sided spreader graft. It either fell out or otherwise dislocated. The left side is concave indicating that the cartilaginous vault has collapsed. You also may have short nasal bones which predispose you to internal valve collapse. This does required a proper spreader graft on on the left for symmetry and airway function.Your  bridge and tip will be in better relationship after that is fixed

Randolph Capone, MD, FACS (in memoriam) · Answer

Sorry to hear. A revision rhinoplasty can likely modify your nose more to your liking. Have a consultation with a rhinoplasty expert and carefully outline all the aspects you don't like. Together, you and your surgeon can address them using digital morphing software so that you can see (and endorse) any changes. While scar tissue from your first surgery makes revision rhinoplasty more challenging, significant improvements can be made. If you have a good surgeon and surgery goes smoothly, you'll likely be VERY happy. And try to obtain a copy of your prior operative record to give to your surgeon in advance of your consultation, so that he/she has all the information necessary.

Can a revision rhinoplasty remove spreader grafts & infracture nasal bones to restore orignal bridge and tip narrowness? (Photo)

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Answers (4)

More Revision Rhinoplasty Questions

Is it hard to rebuild a radix and bridge in revision rhinoplasty?

Can revision rhinoplasty correct an under-projected tip? (Photo)

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