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Less invasive tip revision options 3+ years after septorhinoplasty? (Photo)

D
DrakkardoMar 26, 2024

Not disfigured, just disappointed. Had septorhinoplasty 3+ years ago for deviated septum and nose that pointed to the left. Goal was to breathe better/nose look straight from the front but still look like me (not smaller; keeping bump). Breathing hasn't really improved. Bridge is fine but the tip is noticeably larger/droopier and swells throughout the day. My nostrils seem to flare. Could steroid injections or liquid rhinoplasty help? Or tip plasty under local anesthetic?

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1738 Reviews
Answered on Apr 8, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. During revisions when there is adequate septal Cartilage intact, I always prefer to use that for all cartilage grafts. Where there is no septal Cartlidge intact, then I will use MTF cartilage for revisions. I recommend that you seek consultation with a...

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It appears that you have a residual open roof deformity. After reviewing the operative note, this is a very frequent potential issue that occurs when the hump is reduced with an osteotome as described. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It difficult to tell just based on the photos. At eight months post-op, you are still swollen. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It really depends on exactly what you need done, but ear cartilage does not work well, and I never use it as it lacks structural stability. If you don’t have septal cartilage available for grafting then I always use MTF Cartilage for revisions. I r...

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