I still have a dorsal hump on my nose after my primary closed rhinoplasty 3 weeks ago. Will I have to pay for a revision and will this produce major swelling on my nasal tip and nose again? Is it normal to remove the hump with filing and minimal swelling?
May 19, 2014
Answer: Be patient Dorsal hump removal is a very common maneuver during rhinoplasty. There are several key ways to do this and the technical aspect will depend on the amount of reduction and your surgeon's preference.3 weeks out from surgery you can expect to still have quite a bit of edema. Hump reduction removes bone and underlying cartilage while the skin is left to redrape and contract over this new skeleton. Without examining you, I cannot say whether a hump (excess bone &/or cartilage) remains or if this is expected postoperative swelling that will take time to resolve.Nasal surgery imparts nasal trauma to the nose. With some of the thinnest skin on the body, nasal swelling can be significant and will ALWAYS be present after rhinoplastic surgery - primary or revision. In fact, swelling can be worse after a revision procedure.Be patient and discuss your concerns with your surgeon. I ideally perform revision cases after at least 1 year has passed. Payment for revision work is between you and your surgeon, but typically is required. Hope this helps.
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May 19, 2014
Answer: Be patient Dorsal hump removal is a very common maneuver during rhinoplasty. There are several key ways to do this and the technical aspect will depend on the amount of reduction and your surgeon's preference.3 weeks out from surgery you can expect to still have quite a bit of edema. Hump reduction removes bone and underlying cartilage while the skin is left to redrape and contract over this new skeleton. Without examining you, I cannot say whether a hump (excess bone &/or cartilage) remains or if this is expected postoperative swelling that will take time to resolve.Nasal surgery imparts nasal trauma to the nose. With some of the thinnest skin on the body, nasal swelling can be significant and will ALWAYS be present after rhinoplastic surgery - primary or revision. In fact, swelling can be worse after a revision procedure.Be patient and discuss your concerns with your surgeon. I ideally perform revision cases after at least 1 year has passed. Payment for revision work is between you and your surgeon, but typically is required. Hope this helps.
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May 20, 2014
Answer: Revise dorsal hump 1 month post op Yes there would be more swelling and bruising if the revision is done this early. Although I don't do many revisions I recommend waiting a few months in order for the initial swelling to abate before revising. The original surgeon should have a policy regarding charging for revision.
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May 20, 2014
Answer: Revise dorsal hump 1 month post op Yes there would be more swelling and bruising if the revision is done this early. Although I don't do many revisions I recommend waiting a few months in order for the initial swelling to abate before revising. The original surgeon should have a policy regarding charging for revision.
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