Is it safe for me to have another revision rhinoplasty after blood supply issue? (Photo)

Question

I’ve had 2 surgeries, the last one ended with botched results and I need a 3rd rhinoplasty. I had a few issues healing after my second surgery. I had a small vascular issue on my columella , pictured here. The round red spot near the scar. It scabbed and came off after about 2-3 weeks. But, I’m worried opening my nose back up for a 3rd surgery will only make it worse. Am I able to do it again? Or is it too risky?

Jeffrey H. Spiegel, MD · Answer

It doesn't look like a problem to me.  There are a few considerations:
(1) What do you need done? It is possible we could correct the remaining issues without opening the columella.
(2) When was your last surgery?
(3) I would put you in our hyperbaric oxygen chamber before and after surgery to prevent any problems.

Steven M. Denenberg, MD · Answer

It looks as though you haven't had good luck in selecting a surgeon. That's more important than the blood supply issue. I don't ever remember seeing a nose where that was a problem, certainly not an insurmountable problem. Worry more about finding the right doctor this time!

Eric M. Joseph, MD · Answer

Since you've had an issue with poor blood flow, further surgery would be risky. In you narrative it's not clear what you dislike about your nose. Please consider re-asking your question with photographs of your current nasal appearance. Depending on your examination, if you have asymmetries or indentations, microdroplet Silikon-1000 injections may be considered. Since the size of a Silikon-1000 molecule is smaller than a red blood cell, this would never lead to vascular occlusion or necrosis.

Stephen Prendiville, MD · Answer

Based on your history alone, further surgery carries a high risk of vascular compromise to the skin.  Your case requires in depth discussion in a consultation.  But the simple answer, is "yes", you should be careful.

Is it safe for me to have another revision rhinoplasty after blood supply issue? (Photo)

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Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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Is it safe for me to have another revision rhinoplasty after blood supply issue? (Photo)

Answers (4)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.