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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.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Nima Shemirani, MD
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Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
4.9 | 278 Reviews
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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Donald B. Yoo, MD, FACS

The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top rhinoplasty specialists and consult with several of them in person. During your consultation, your photos can be computer-morphed to show...

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Thank you for your question and photos. While an in-person consultation is certainly necessary to evaluate your facial structure, skin, and bone health, it does appear that your original surgeon deprojected your nasal tip without targeting the nasal bridge as well. Addressing this concern may be...

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Nima Shemirani, MD

Hi @sm8891. Thank you for sharing your photos. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after physical examination. Best of luck, Dr. Nima

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