7 mo post op, thin skin before surgery and now cartilage shows even more through the tip. No grafts were placed in my nose, tip just shaved down. My dr's plan-revise at a yr thru closed procedure, take fascia from my ear to lay over the tip of my nose. Experts-agree? Should I trim some off the tip so projection is not added by the fascia? Should this be a closed procedure? Lastly, is this fairly easy or complex revision? ONLY want to change white tip and "boney" cartilage look of tip... soften
October 18, 2016
Answer: Thin skin I agree with what has been said, that thin skin is a difficult and tricky problem to solve (without making the problem worse). Some surgeons used very finely crushed cartilage to mask this, but in your case this may create too much bulk. I agree with the fascia graft, but he is taking it from your ear? Do you mean from behind the ear? Temporalis fascia is usually the graft of choice, which is taken from a small incision above and behind the ear. The scar is hidden in the hair.
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October 18, 2016
Answer: Thin skin I agree with what has been said, that thin skin is a difficult and tricky problem to solve (without making the problem worse). Some surgeons used very finely crushed cartilage to mask this, but in your case this may create too much bulk. I agree with the fascia graft, but he is taking it from your ear? Do you mean from behind the ear? Temporalis fascia is usually the graft of choice, which is taken from a small incision above and behind the ear. The scar is hidden in the hair.
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October 17, 2016
Answer: Tip cartilage after rhinoplasty Thank you for your question and photos. I do notice the tip area that you are talking about. This can happen with thin skin after rhinoplasty. Unfortunately without better photos and details of what was done in the procedure, it's hard to comment on the projection etc. If the tip cartilages are in good position and not too separated then fascia is a reasonable solution. Open or closed is surgeon preference so it varies. Good Luck.
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October 17, 2016
Answer: Tip cartilage after rhinoplasty Thank you for your question and photos. I do notice the tip area that you are talking about. This can happen with thin skin after rhinoplasty. Unfortunately without better photos and details of what was done in the procedure, it's hard to comment on the projection etc. If the tip cartilages are in good position and not too separated then fascia is a reasonable solution. Open or closed is surgeon preference so it varies. Good Luck.
Helpful 1 person found this helpful
