I had a septorhinoplasty 2+ years ago to mostly reduce a bulbous tip. however,post op my nose was crooked (wasnt prior to all this) and so in dec 2014 we did a revision to try to cut out any scar tissue and straighten it. almost a year out from my revision and my nose has formed even more scar tissue and is more crooked than before. my dr has done kenalog shots this time but has mentioned a 2nd revision. does this sound like a waste of time given ineffectiveness before or is it realistic?
November 27, 2015
Answer: Persistent Deviation of the Nose Two conditions would cause a tip deviation like this. The most common condition is the deviation in the bottom portion of the septum which has shifted off the natural platform and the second is a columella strut (a cartilage graft within the column between the nostrils) that is dislodged to one side and pushes the tip to the opposite side. Your nose can be made more elegant with some refinements such as adjusting the nostrils that are uneven, the right side being higher and wider, placement of alar rim grafts, narrowing and repositioning of the tip structures and possible adjustment of the septum.
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November 27, 2015
Answer: Persistent Deviation of the Nose Two conditions would cause a tip deviation like this. The most common condition is the deviation in the bottom portion of the septum which has shifted off the natural platform and the second is a columella strut (a cartilage graft within the column between the nostrils) that is dislodged to one side and pushes the tip to the opposite side. Your nose can be made more elegant with some refinements such as adjusting the nostrils that are uneven, the right side being higher and wider, placement of alar rim grafts, narrowing and repositioning of the tip structures and possible adjustment of the septum.
Helpful
November 27, 2015
Answer: Tertiary rhinoplasty candidate A full set of photographs are required of the nose to make any determination about what may or may not be required. Since a tertiary rhinoplasty for a crooked nose is A very difficult procedure, an in-person consultation and examination is required to discuss options. There are mltiuple techniques that can accomplish straightening the crooked nose such as osteotomies placed in the nasal bones, a unilateral spreader graft placed on the concave side in the midportion of the nose, and a tip rhinoplasty to adjust the crooked nasal tip. Best to obtain the old records to find out what was accomplished in the first 2 rhinoplasty procedures.
Helpful
November 27, 2015
Answer: Tertiary rhinoplasty candidate A full set of photographs are required of the nose to make any determination about what may or may not be required. Since a tertiary rhinoplasty for a crooked nose is A very difficult procedure, an in-person consultation and examination is required to discuss options. There are mltiuple techniques that can accomplish straightening the crooked nose such as osteotomies placed in the nasal bones, a unilateral spreader graft placed on the concave side in the midportion of the nose, and a tip rhinoplasty to adjust the crooked nasal tip. Best to obtain the old records to find out what was accomplished in the first 2 rhinoplasty procedures.
Helpful
