Graft is showing six months after rhinoplasty. Is it fixable? (Photo)

Question

Closed rhino in 2012 for bulbous tip, 6 months later, a lump is protruding. PS said I added a graph, don't worry, you cant really see it. what? Basically he didn't want to deal with it. so I go to a PS at Cleveland Clinic who rebuilds noses, from bad car accidents/birth defects. I put my faith in him(8) hour surgery). 6 months later the graph shows up, added to that my nose looks crooked, and flat. PS said,I'm moving to Canada, next week, Ill just add filler to the other side,is this fixable?

George Bitar, MD · Answer

Thank you for your question and photos. You do have graft visibility and asymmetry.  While a revisionary rhinoplasty would be the longest lasting correction of this issue, injectable fillers are also a good option. Fillers are beneficial in that you could achieve better symmetry without downtime and significant cost. Maintenance will be required every 9-12 months. Given your travel, this may be a good solution for now. Best wishes.

Steven Wallach, MD · Answer

Of course not knowing what your nose looked like before and being a Monday morning quarterback doesn't help much.  Yes, I see some asymmetries but what did it look like before. Going for another revision may add further complexity and problems.  Good luck.

Samir Shureih, MD · Answer

Since you had your surgery in Cleveland. See Dr. Bahman Guyuron Chairman Department of Plastic Surgery at Case Western Reserve University, Cleveland.

Harrison C. Putman III, MD (retired) · Answer

Your options do include revision surgery and fillers, of which both hyaluonic acid gels and Radiesse are used frequently. Sometimes a more permanent filler, such as Silikon 1000 will work. Good luck.

Graft is showing six months after rhinoplasty. Is it fixable? (Photo)

Answers (4)