Saddle nose or swelling? (Photo)

Question

I underwent revision rhinoplasty to address projection and rotation issues. I am now concerned that as the nose swelling is going a bump on my bridge has appeared. Could this be a saddle nose deformity, or swelling? I am at the 6 month mark.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, this appears more like a residual dorsal hump. If it does not improve, you may want to consider another revision. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Sean Fisher, MD · Answer

The photos you shared do not appear to show a saddle deformity. At 6 months post-op after a revision rhinoplasty there is sure to still be a significant amount of swelling. This may be contributing to the dorsal fullness that you find bothersome. Steroid injections can be beneficial if there is a significant degree of persisting dorsal swelling. If this dorsal fullness persists it may be able to be addressed with a small amount of dorsal rasping to correct this. 
Sean M Fisher MD

Saddle nose or swelling? (Photo)

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Saddle nose or swelling? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.