Still Swelling on Bridge After Fascia Grafting After First Time Rhinoplasty 7 Months Ago?

I am of Asian origin. I wanted a slightly upturned tip. I did not want a higher bridge at all. My surgeon told me he only used fascia, but also on the bridge. As a result for a few months after surgery my bridge was very high! Now 7 months after it is better but still higher than before and the tip still looks HUGE! The fascia graft still feels spongy sometimes and I can still feel the graft (soft) on radix betw eyes. Will it go down!!!??? was graft on bridge necessary?! "Hopeful"

Doctor Answers 6

Rhinoplasty Using Fascia

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Dear Elisa,


Using fascia to augment nasal areas require more recovery time than other grafts and so since you have noted difference with time so far for the better, I recommend that you be patient and try not to assess your results before 12-14 months post-op.

That being said, it is imperative that you communicate with your surgeon and follow his/her instructions religiously.

The best of luck to you.

Thank you for your post.

Dr. Sajjadian

Hopeful Help

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Tinkering with Grafted Rhinoplasty procedures before truly waiting 12 months may not be a wise decision.  Therefore, after another 5 months, consider your many options with your surgeon at that time.

Swelling on Briddge after Fascia Graft

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When using fascia to augment the nose we typically over correct by about 25%. The fullness and swelling does take longer to resolve with this type of graft. I would wait another 6 months before making any decisions.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

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Fascia graft with rhinoplasty.

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Though the swelling may be gone I would wait the full year before doing anything.  If at one year it is too high then try the Kenalog. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Fascia Grafting

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You could try to inject the fasial graft with kenelog at the naso-frontal angle and the tip. If that doesn't work, then a revision rhinoplasty and removing the graft and scar tissue that may have accumulated.

Fascia graft too high

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Generally by 6 months the fascia graft is where its going to be and little change is expected. Your surgeon knows your desires, your anatomy , and your procedure. He is the one you must ask this question

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.