Does a Slanted Cast = a Slanted Nose?

Question

I am one day post op and my cast looks like it's going to oneside... Does this mean my cast is shaping the nose in that exact position or is it ok? Little worried since I,ll be so upset if my nose is crooked...please advise!

Stephen Prendiville, MD · Answer

Although this question is much better directed toward the operating Surgeon, the appearance of the cast 1 day after Rhinoplasty should not have any bearing on your final result.

Michael A. Persky, MD · Answer

Hi B,

	You are well advised to contact your rhinoplasty surgeon about your concerns.  Only your surgeon knows what went on during your surgery.  Good luck and be well.

	Dr. P

Remus Repta, MD · Answer

Hello,

	Thank you for the question.  I can appreciate your concern as you would want the best result possible.  Most of the time the splint (cast) is placed for swelling purposes and protection and not for shaping purposes.  I think you will be ok but it can never hurt to contact your plastic surgeon and ask him/her directly.

	All the best,

	Dr. Remus Repta

Mohsen Tavoussi, MD, DO · Answer

No. The slanted cast could be caused by swelling. I would advise you to be patient as recovery and swelling will take at least 9-12 months or more. Follow up with your surgeon as schedulled

James Bartels, MD · Answer

You have a legitimate concern, and you should definitely check with your surgeon. However, in many cases the appearance of the cast and / or tape immediately after surgery has very little correlation with how the nose looks underneath. There can be uneven swelling on one side or the other, and if tip work was done, the tip of the nose is often taped with an exaggerated upturn. Your surgeon is your partner in this process, and therefore will want to address any such concerns you may have.

Does a Slanted Cast = a Slanted Nose?

Answers (7)