2 years post revision rhinoplasty and left with poor circulation - would exchanging my grafts help?

Hello! Thank you for your question.Without photos it is not possible to make a proper evaluation. Anyway if the grafts cause you pain, the solution would be to remove it and get a revision rhinoplasty surgery (maybe with rib cartilage or ear cartilage) and exchanging the grafts to keep the aesthetic.
Best regards! Prof. Dr. Selcuk Inanli

It could be quite possible that due to a thin and tight skin envelope on the tip of the nose you may experience symptoms your describe. I am not sure whether would placement of a small fascia graft between skin and cartilage, which will provide more thickness to the skin envelope, improve cold intolerance but maintain satisfactory tip shape and projection? In person consultation with 1-2 plastic surgeons with extensive experience in rhinoplasty (even via telemedicin), is recommended. Good luck.

It is possible that the coldness and pain you are experiencing in the tip and sides of your nose after your rhinoplasty revision are related to the grafts that were placed. Poor circulation to the area may be a contributing factor.

Taking out the grafts and replacing them with new ones may be a solution to alleviate your symptoms, but it is important to discuss the potential risks and benefits of this option with your surgeon. Your surgeon will need to evaluate your nose and determine if this is the best course of action.

It may also be helpful to explore other options to manage your symptoms, such as medication for pain relief or topical treatments to improve blood flow to the area. A consultation with a specialist in pain management may also be beneficial.

Ultimately, the decision to remove and replace the grafts should be based on a careful evaluation of the risks and benefits, taking into consideration both your aesthetic goals and your quality of life concerns. Your surgeon can provide guidance and recommendations based on their experience and expertise in revision rhinoplasty.

Best of luck !