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Stitch fell out, hanging columella, excessive scar tissue. Revision failed to correct. Can this be fixed? (Photo)

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Chiefs28276Aug 19, 2024

16 months ago, first rhinoplasty. At 1-week splint removal, it was discovered an internal stitch fell out, resulting in fluid pooling directly above the columellar incision. Doc has injected steroids (no help) & laser, which help, but bump always grows back. Over next 8 months, my columella began dropping, 2nd procedure to remove scar tissue and cartilage. I’m now 6 months after 2nd surgery, very little change. My columella is still hanging, is full of scar tissue, and is 2x thick as pre-op.

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Aug 21, 2024
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Eric M. Joseph, MD

Based on your photos, you appear to have relatively thin nasal skin. We can see that you have deep creases above your nostril margins which may be due to your previous surgery. This could also be associated with tip and nostril asymmetry. Depending on your examination, microdroplet Silikon-1000...

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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 help straighten your nose. Maneuvers for this would include osteotomies and placement of spreader crafts, among other maneuvers. With good surgical technique, you could have an outstanding result...

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Gurkan Kayabasoglu, MD

Hello. I am so sorry that you are unhappy after your rhinoplasty. When I look at your photos, I don't think it was a bad result. But of course, the perception of beauty varies greatly from person to person. If it does not meet your expectations, you can consider revision. This is entirely up to...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. I don’t use solid onlay grafts as they frequently have contour irregularities, mobility, and problems. When placing an onlay graft, I prefer diced cartilage wrapped in fascia. It usually has a much smoother longterm contour. I recommend that you seek c...

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Eric M. Joseph, MD

The photograph of your x-ray is interesting, however, facial photographs would be necessary to determine whether or not your expectations are valid. I hope this is helpful. Sincerely, Dr. Joseph

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Eric M. Joseph, MD

In general, rasping is a procedure to eliminate or lower excess nasal bone. Rasping techniques would not be utilized to reduce scar tissue. Sometimes asking questions with photographs, along with a description of what you would like to achieve, are the most beneficial. I hope this is helpful....

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