I had a closed rhinoplasty 12 years ago to correct a deviated septum from a blow to the face and a dorsal hump from a nose break in my teen years. As soon as the splint came off, a prominent bump was noticeable on the right side of my nose bridge and a divit. The bump has become more prominent with time and is creating more asymmetry as it appears to be shifting to one side. Could a simple rasping fix the problem or is this going to need a total re-do?
November 26, 2018
Answer: Revision Rhinoplasty Based on your photos- it will require a complete Revision Rhinoplasty to achieve a more refined, more elegant nose. I suggest that you seek an experienced Board Certified PS with extensive Rhinoplasty/Revision Rhinoplasty experience for in person consultation
Helpful 1 person found this helpful
November 26, 2018
Answer: Revision Rhinoplasty Based on your photos- it will require a complete Revision Rhinoplasty to achieve a more refined, more elegant nose. I suggest that you seek an experienced Board Certified PS with extensive Rhinoplasty/Revision Rhinoplasty experience for in person consultation
Helpful 1 person found this helpful
November 26, 2018
Answer: Revision rhinoplasty required, not simple rasping The photographs demonstrate significant asymmetrical nasal bones, along with a large dorsal hump on the patient's right side in addition to collapsed upper lateral cartilage more so on the right than the left. The collapsed upper lateral cartilage makes the dorsal hump look bigger than it really is. A full revision rhinoplasty will be required to not only shave the dorsal hump down, but osteotomies are then going to be required to close the open roof created from the hump removal itself. Spreader graft placement will also be required to augment the collapsed upper-level cartilage. It's important to know how much cartilage is left over on the inside of the nose for grafting purposes.
Helpful 1 person found this helpful
November 26, 2018
Answer: Revision rhinoplasty required, not simple rasping The photographs demonstrate significant asymmetrical nasal bones, along with a large dorsal hump on the patient's right side in addition to collapsed upper lateral cartilage more so on the right than the left. The collapsed upper lateral cartilage makes the dorsal hump look bigger than it really is. A full revision rhinoplasty will be required to not only shave the dorsal hump down, but osteotomies are then going to be required to close the open roof created from the hump removal itself. Spreader graft placement will also be required to augment the collapsed upper-level cartilage. It's important to know how much cartilage is left over on the inside of the nose for grafting purposes.
Helpful 1 person found this helpful
