How long should I wait to consider revising lateral crural strut grafts? (Photos)

 It has been long enough and you can have a revision rhinoplasty at any time. See a very experienced revision rhinoplasty specialist who can discuss your options with you

Dear Velo35 in San Francisco, California:
Nineteen months is an adequate time to consider consulting either with the original surgeon or other surgeons to discuss the removal of any cartilage grafts which you are not pleased with.  Now is the right time, because it is obviously a matter of concern to you.  What did your original operating surgeon say?  What did he or she propose?  A second or third opinion is always valuable.  You have experiencing the sojourn of having the primary operation, so can fully understand what a secondary operation would involve. 

Best wishes,

Robert Kotler, MD, FACS 

The timing is appropriate for a revision if you elect to have one. I would see your original surgeon and discuss the pros and cons. Usually lateral crural strut grafts are placed to correct a structural weakness in that area.  As in much of rhinoplasty one needs to balance function and aesthetics. It would be important to review your breathing status at the time of your previous operation and how it is now.  Basically have a thoughtful discussion with your surgeon.