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

anon3705Feb 14, 2014
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.

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Dr. Nima Shemirani, MD
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Dr. Nima Shemirani, MD
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Dr. Jeffrey Epstein, MD, FACS
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Kenneth Hughes, MD

I think that only an exam and a frank discussion would be appropriate in your case.Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense...

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Mahlon Kerr, MD, FACS

Its hard to get a complete look from your photos.  I would post more showing your entire face and nose with front and side profiles.  Also, when was your original rhinoplasty?  I would recommend waiting at least a year before any revisions are considered.  Good luck!

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Sam Naficy, MD, FACS

Correcting a pinched nose is a common revision rhinoplasty procedure and quite routine among surgeons specializing in revisions.  Grafting of cartilage from the rib or ear may be necessary

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Sam Naficy, MD, FACS

Your grafts may have shifted or absorbed after the trauma.  Best to give it a full year and then reassess the need to perform another revision which would likely require rib grafting

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Garrett Griffin, MD

Hi Roze:Dicing rib cartilage and placing it in temporalis fascia as a "burrito" can be a good way to augment the bridge of the nose.  Even if solid rib grafts are prevented from warping, the edges can be visible in patients with thin skin.  I would agree with the other respondent that...

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Garrett Griffin, MD

Hi Sheldon: Revision rhinoplasty can be difficult but I do think an experienced rhinoplasty surgeon could make a significant improvement.  Cartilage grafts can be used to straighten a crooked septum.  Likely, simply removing a bit more of the dorsal septum will straighten your profile...

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