I have a small nasal bossa as the one shown in this photo (I know, terribly small). My Dr. would like to make an external incision to fix this. Is this a normal thing to do? I can't find anyone else doing it. He said I would be walking around with stitches for about a week. I am also worried that if he makes it smaller or removes it that the other side will poke out as that is how it feels when I touch it. Would it be better to do the dome technique?
March 22, 2017
Answer: Your tip irregularity after rhinoplasty surgery is at least partially from your thin skin. You're up close nasal photo appears to show thin nasal skin. Thin nasal tip skin is unforgiving after rhinoplasty surgery and can reveal irregularities in the underlying tip cartilages more so than in those who have thick nasal skin . To improve this condition, revision rhinoplasty may be indicated, however, other irregularities may arise in the future when your post surgical swelling resolves. Consider consulting with several revision rhinoplasty specialists so you could see what might be best for you moving forward. Hope this helps! Dr. Joseph.
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March 22, 2017
Answer: Your tip irregularity after rhinoplasty surgery is at least partially from your thin skin. You're up close nasal photo appears to show thin nasal skin. Thin nasal tip skin is unforgiving after rhinoplasty surgery and can reveal irregularities in the underlying tip cartilages more so than in those who have thick nasal skin . To improve this condition, revision rhinoplasty may be indicated, however, other irregularities may arise in the future when your post surgical swelling resolves. Consider consulting with several revision rhinoplasty specialists so you could see what might be best for you moving forward. Hope this helps! Dr. Joseph.
Helpful
March 21, 2017
Answer: Rhinoplasty Revision Thank you for your question. Most likely, your surgeon is referring to an external excision which is across the columella of the nose. This is the bridge of tissue which sits between the nostrils. This incision, when meticulously closed, will leave an imperceptible scar. With this incision, your surgeon will perform an open procedure, where the cartilages can be reshaped and the bossae removed. There is also a 'closed approach', where all incisions are made on the inside of the nose, as well. Be sure to consult with a board certified facial plastic or plastic surgeon who specializes in rhinoplasty for a full evaluation. I hope that this helps!-David Gilpin
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March 21, 2017
Answer: Rhinoplasty Revision Thank you for your question. Most likely, your surgeon is referring to an external excision which is across the columella of the nose. This is the bridge of tissue which sits between the nostrils. This incision, when meticulously closed, will leave an imperceptible scar. With this incision, your surgeon will perform an open procedure, where the cartilages can be reshaped and the bossae removed. There is also a 'closed approach', where all incisions are made on the inside of the nose, as well. Be sure to consult with a board certified facial plastic or plastic surgeon who specializes in rhinoplasty for a full evaluation. I hope that this helps!-David Gilpin
Helpful
