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Extreme pain in septum and suspected perforation 18 months after revision septorhinoplasty

msb1ackeyelinerNov 7, 2024
In May of last year I had a revision Septo-Rhinoplasty with rib graft. 4 months after surgery I started having painful popping sensations in my septum. Today it feels like scoops of flesh have been removed from my septum very close to the nasal bridge midway to the tip on both sides. Mucus collects in them, they crust, are extremely painful and bleed. I have seen my surgeon multiple times for my concerns but he says it’s still settling. It feels like something failed. Where do I go from here?

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Dr. Selcuk Inanli, MD
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Answered on Dec 11, 2024
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Dr. Eric M. Joseph, MD
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Answered on Nov 11, 2024
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Steven M. Denenberg, MD

To me, your nose isn't too short, really. The angle between your upper lip and the bottom edge of your nose isn't clearly too large -- it's mostly in a range of normal. I'm wondering whether what you notice is that the tip of your nose might stick out more than ideal for your face. I'd like to...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty with nasal tip deprojection. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty...

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Andrew Miller, MD

You don't appear to have either, but more photographs would be helpful to really evaluate the nose. Your lateral crus are more convex and they indent in a little bit laterally where the curve stops. The tip can be refined by straightening the lateral crus, creating a more defined tip complex. Be...

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