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How strong is a nose with grafts and what to do after being hit? (Photos)

ChrisJamesOct 27, 2024
I had a revision rhinoplasty a decade ago which included extensive grafting from my septum to rebuild my nose. Large spreader grafts were sown in both sides, a columella strut graft and tip grafts were added too. 2 weeks ago someone bumped into my nose quite hard. It hurt, a numb sensation. My nose did not bleed and no significant external swelling was apparent. My breathing seemed off though and my nose skin looked a little sore. How likely is damage and what steps to take next?

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Dr. Andrew Miller, MD
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Answered on Oct 31, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, alar retraction is causing excessive nostril show. This can be fixed during a revision with placement of extended alar contour grafts and appropriate tensioning of the tip. With good surgical technique, you could have an...

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There are many options including fat grafting, ablative laser, retinoid therapy, and more. You need to see an expert rhinoplasty American Board of Plastic Surgery certified surgeon.

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We can see that the upper 1/3 of your nose was made a bit too low. Depending on your examination, microdroplet Silikon-1000 injections may be considered for permanently replacing lost volume and for improving upon your nasal profile appearance without the inconvenience of additional surgery....

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