Can a rasping correct growing callus and asymmetry 12 years post rhinoplasty? (Photos)

Question

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?

Ajaya Kashyap, MD · Answer

Thank you for your question.
Simple rasping may help but is unlikely to correct the problem completely. Please discuss this with your surgeon. In my opinion, a simple rasping can be tried as an initial procedure to see if it would result in a satisfactory improvement. You should, however, be prepared for redo if needed. All The Best !

John Michael Thomassen, MD · Answer

Rasping should be able to address this residual dorsal hump.  It appears to involve only the nasal bone and not the midvault cartilages.

Tanveer Janjua, MD · Answer

The small bump can be rasped down and it might make enough of a difference to satisfy your needs. It is a good simple start. If that fails to make a big difference in your opinion then move on to a complete revision. RegardsDr. J

Thomas Trevisani, MD · Answer

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

William Portuese, MD · Answer

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.

Can a rasping correct growing callus and asymmetry 12 years post rhinoplasty? (Photos)

Answers (5)

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