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Rhinoplasty After Maxillofacial Surgery?

sahra007Jul 23, 2012
Hi doctor, I under went orthognathic surgery ( osteotomy lefort 1 impaction) 1 year and 2 months ago to fix a gummy smile of 9mm. I knew prior to my surgery that my nose will change but now i just cant be joyful of the result because my nose is very wide and 'piggish' looking. I saw many reputable plastic surgeon to discuss a possible rhinoplasty and they ALL advised me that i will ONLY need an alarplasty and doing more work would not be natural but i am worried. what should i do? Thank you

Answers (4)

From board-certified doctors and trusted medical professionals
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Jul 28, 2012
Answer
Dr. Francis R. Palmer, III, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Jul 27, 2012
Answer
Dr. Oleh Slupchynskyj, MD, FACS (retired)
Board Certified Facial Plastic Surgeon
Answered on Feb 15, 2016
Answer
Dr. Michael Elam, MD (retired)
Board Certified Otolaryngologist
Answered on Jul 24, 2012
Answer

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Richard W. Fleming, MD (retired)

The answer depends on exactly what was done when the implant was placed in your nose. You probably will need a revision after the silicone is removed.

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Richard J. Brown, MD

It is way too early for you to know the final shape of your nose. It takes 6 months to a year or the final result. Being that said you should have a good idea at about 6 months how things will be. Your pictures are limited but there would naturally be more swelling in the beginning and so as...

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Richard J. Brown, MD

You would have to be very aggressive to cause any damage at 5.5 months post op. Being that said none of us were there for your surgery an it is hard to know if your surgeon did anything special that you could harm. Most likely you will be fine. If you have real concerns call your surgeon for sure.

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