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Small bump and indent on cartilage on one side (Photo)

1273627929_Jun 5, 2024
I had a rhinoplasty 2 years ago. Overall I am happy with the result, however there is an indent and a bump on the cartilage on one side. I have discussed it with my surgeon and he does not think a revision is needed but he offered to shave down the bump on that one side. Should mention that alar rim grafts were done and this bump was present in the post op pictures. My nose deviates to one side slightly and the right nostril is smaller. I’m nervous that shaving the cartilage will enhance this.

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1706 Reviews
Answered on Jun 7, 2024
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Ruslan Zhuravsky, DO

Hi, This could be a few different things ... It could be a spreader graft sticking above the septum. It could be the septum itself that is deviated and protruding above the level of the nasal bones and upper lateral cartilages. It could be a dorsal onlay graft. Those are a few possibilities but...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. The best answer to this depends on your own individual anatomy. Some revisions I will do as soon as eight months, whereas other cases we wait longer than one year. It really depends on how much swelling you have. I recommend that you seek consultation with...

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Eric M. Joseph, MD

Based on your photos, you appear to have asymmetrical supra Aylor creases, along with a symmetrical nostril retraction. All of these issues may be improved upon with micro droplet Silikon 1000 injections for a permanent resolution. I hope this helps. Sincerely, Dr. Joseph

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