What can be done/used during a revision rhinoplasty to fix missing bone on top of nose bridge? (Photo)

Question

At the top of my bridge, the part in between my eyes, on one side ( my left side) it feels like I'm missing part of my bone. It's slightly indented, I can touch it and feel an indent plus I can feel jagged edges on the bone. Like too much bone was chiseled out. It also hurts still, 3 years after surgery. Can a revision fix it? And if so, how? It's by the black line in photo

Eric M. Joseph, MD · Answer

Most people experience differences in how their right and left nasal bone feels after rhinoplasty surgery, especially when bony work and osteotomies were performed. As long as there is no visible irregularity, there is no need to treat this. I hope this is helpful! Sincerely, Dr Joseph

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about the concerns you have regarding your nasal bridge after your previous surgery. Without a physical examination and access to your medical history, it's challenging for me to provide a definitive answer. However, I can offer some general information.

If you are experiencing an indentation and discomfort in your nasal bridge after a previous surgery, it may be possible to address these concerns with a revision procedure. Revision rhinoplasty is a specialized procedure performed to correct or improve the results of a previous nasal surgery.

During a revision rhinoplasty, the surgeon would assess your specific case and determine the best approach to address the issues you're experiencing. It could involve techniques such as cartilage grafting, bone augmentation, or reshaping to help restore symmetry and correct any irregularities or imbalances in the nasal bridge.

To get a better understanding of your situation and the potential for revision, it's essential to consult with a qualified and experienced plastic surgeon who specializes in rhinoplasty and revision procedures.

I hope this helps,
best of luck !

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the information and photo you provided, it may be cartilage sticking out of your nasal bridge.I would recommend you a revision rhinoplasty to correct it. It is very high on the bridge so without a revision rhinoplasty it is not possible to correct it. 
Best regards!Prof. Dr. Selcuk Inanli

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! I see what you're talking about. It could be that the nasal bone was in fact too aggressively reduced. The nasal bones are thin in most patients and too much manipulation can cause problems. This is an area where improvements can be made, but it isn't always easy. Grafts (cartilage +/- soft tissue) can be placed to provide more bulk to the area thus helping symmetry. If you're comfortable with your initial surgeon, bring up your concerns to see what can be done. If not, seek out multiple consultations with Facial Plastic Surgeons to learn more about the treatment. Hope this helps!

William Portuese, MD · Answer

You don't have any missing bone, but you have an inverted upper lateral cartilage that is not in alignment with your left nasal bone. You will require an osteotomy placed in the left nasal bone and a cartilage spreader graft placed along that concave upper lateral cartilage in the midportion of your nose. It's important to know how much cartilage is left over on the inside of the nose for grafting purposes, so it's best to get a copy of the operative report. You'll also have to remove the piercing for at least a few months after the procedure

What can be done/used during a revision rhinoplasty to fix missing bone on top of nose bridge? (Photo)

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