Left side graft after Revision rhinoplasty was not strong enough, what can be done to correct it? (Photo)

Question

Rhino revision, grafted both sidewalls with cartilage and the bridge with goretex, he did a columellaplasty and reduced the alar both sides.Now left side is back to where it was before surgery, and its difficult to breath on that side. Tip is still higher on left side of the bridge,and I can feel the space between the bridge and the tip. I visited my surgeon and he said we have to do another revision. What can be done this time, I really want the nose to be straight. Before pics in my pre posts.

Jeffrey Epstein, MD, FACS · Answer

It is hard to make my recommendations based on
this info, but what I can deduce is that the goretex graft is an onlay,
resulting in sinking in of the nasal wall. Likely what is needed is more
structural cartilage work to first and most importantly achieve proper nasal
wall support.  However, this needs to be addressed obviously in a
more thorough fashion.

Nima Shemirani, MD · Answer

Dear anon,It looks like you will need some cartilage grafting to fix the sidewallIf your septum is still intact, you can use the cartilage from thereIf there is not much septum left over, I would use rib grafting to have enough cartilage availableYou could replace the Gore-tex with rib cartilage grafting as wellBest regards,Nima Shemirani

Left side graft after Revision rhinoplasty was not strong enough, what can be done to correct it? (Photo)

Answers (2)