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Can revision surgery help? (Photo)

LisaKayLookBetter1965Apr 16, 2024
I’m 14 months post op. At 8 months I had an alar reduction with ear graft and one graft is visible still. Nostrils are uneven and oddly shaped and overall my nose is so bulbous and wide with no definition where the nostrils are. I would like revision surgery but worry I have thick skin and will I continue to be chasing a continual skin swelling problem. It does seem to be more swollen now than months ago. No Kenalog injections for probably five months prior to the photo which is recent.

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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Apr 18, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your frontal view only photographs, there appears to be some nostril asymmetry in the soft triangles after your second surgery. It would be important to further determine what bothers you and then an operative plan could be made to help. I...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to restore a more natural appearance of your nose. This typically involves release of all scar tissue, placement of extended spreader grafts to derotate your tip, and nasal tip deprojection. I...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you appear to have collapse of the mid vault at the bony cartilage junction caused by your surgery. This can be corrected with spreader grafts and perhaps a facsial onlay graft. With good surgical technique, you could have an...

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