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4 years post-op - Should I consider revision rhinoplasty to help with this bony bump and my breathing? (photos)

ak678Feb 8, 2022
I had a rhinoplasty and deviated septum fixed 4 years ago. I worry the left slide of my nose may have suffered a collapse. It is harder to breathe out of the left side and there is a slight bony bump that is visible from some angles (photos). It is also not as straight on that side. Could a revision help this? Or is it not worth it? My nose was severely broken prior so this is a big improvement still.

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Nima Shemirani, MD profile photo
Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
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Answered on Mar 21, 2023
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Eric M. Joseph, MD

As you suspect, the lump is likely a piece of cartilage, perhaps a "septal extension graft", that may have been used to elongate your nasal appearance. Depending on your examination, this may be addressed possibly with an incision inside your mouth, under your upper lip. Consider consulting with...

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Barry M. Weintraub, MD, FACS

As a board certified plastic surgeon with decades of experience in revision rhinoplasty, I see and hear concerns like yours on a regular basis. The consideration of whether to get a revision rhinoplasty involves a complex assessment of risk/reward, and proper photos would be very helpful. If you...

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Paul Mittermiller, MD

Is there a reason you want to remove the cartilage graft? The tip graft is likely adding additional projection and shape to the tip of your nose. If the tip graft is removed, you would likely require at least reshaping of the nasal cartilage in order to obtain your desired result.

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