I had rhinoplasty done one year ago and from the 6 month mark on when most of the swelling had resolved I have developed a bossae and what appears to be scar tissue. I cry when I see photos of my face and don't even recognize myself anymore when I initially loved my results. My surgeon recommends shaving down the cartilage in office. Should I trust him or will it make matters worse? I am afraid to lose more of my nose, but I hate the way it looks.
Answer: Nose I would have a very honest conversation with your surgeon about what your expectations are and if they are achievable. If this is not possible, I sometimes recommend finding another American Board of Plastic Surgery Certified Plastic Surgeon. I would recommend finding one with experience in rhinoplasty. Sometimes a small rasping/shaving of cartilage is a reasonable solution depending on what the expected outcome is. This is a challenging thing to answer over the internet without a physical exam and in person discussion.
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Answer: Nose I would have a very honest conversation with your surgeon about what your expectations are and if they are achievable. If this is not possible, I sometimes recommend finding another American Board of Plastic Surgery Certified Plastic Surgeon. I would recommend finding one with experience in rhinoplasty. Sometimes a small rasping/shaving of cartilage is a reasonable solution depending on what the expected outcome is. This is a challenging thing to answer over the internet without a physical exam and in person discussion.
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March 5, 2024
Answer: Rhinoplasty Hi there. I can see what you're referring to. Reducing / removing the cartilage would likely be needed to improve the harmony of your tip. This can often be done in the office and is low-risk if performed carefully. Hope this helps.
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March 5, 2024
Answer: Rhinoplasty Hi there. I can see what you're referring to. Reducing / removing the cartilage would likely be needed to improve the harmony of your tip. This can often be done in the office and is low-risk if performed carefully. Hope this helps.
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March 4, 2024
Answer: Nose Hi- I would consider consulting/ getting at least a 2nd opinion from another surgeon in person. I can't totally tell from the photos but it looks like you might've had your nose over-aggressively "reduced" and that's what's causing both the bossa and the pinching. If htat's the case, then just simply "shaving down the cartilage" will not fix the issue. I can't tell for sure without having an op note and feeling, but that's my suspicion.
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March 4, 2024
Answer: Nose Hi- I would consider consulting/ getting at least a 2nd opinion from another surgeon in person. I can't totally tell from the photos but it looks like you might've had your nose over-aggressively "reduced" and that's what's causing both the bossa and the pinching. If htat's the case, then just simply "shaving down the cartilage" will not fix the issue. I can't tell for sure without having an op note and feeling, but that's my suspicion.
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March 4, 2024
Answer: I hate "in-office" procedures. To have *anything* done to the nose, it needs to be fully anesthetized, and *you* need to be fully anesthetized. No matter how tiny a feature seems, it can be quite complicated to correct, and the surgeon needs to be prepared to do a full revision rhinoplasty. The photos you posted crop your face out of the photos, and we don't see enough angles to tell what's really going on with the nose. If there are issues on the profile views, or other issues besides that tiny bump on the tip, *all* of the issues should be addressed if you are having another operation. And an "in-office" procedure is a real operation, a real revision rhinoplasty.
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March 4, 2024
Answer: I hate "in-office" procedures. To have *anything* done to the nose, it needs to be fully anesthetized, and *you* need to be fully anesthetized. No matter how tiny a feature seems, it can be quite complicated to correct, and the surgeon needs to be prepared to do a full revision rhinoplasty. The photos you posted crop your face out of the photos, and we don't see enough angles to tell what's really going on with the nose. If there are issues on the profile views, or other issues besides that tiny bump on the tip, *all* of the issues should be addressed if you are having another operation. And an "in-office" procedure is a real operation, a real revision rhinoplasty.
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March 4, 2024
Answer: It is usually best for your surgeon to address as long as you trust your surgeon In your case their may be problem but generally the healing and changes are not over until one year. I suggest you to be forthright about the appearance of your nose relative to the features you wanted. Tell the surgeon how you feel. Your surgeon has recorded your desired appearance in your chart and/or with photo morphing (changing your nose to on the computer). In my experience (over 3000 nose surgeries) about 1/3 of those revision rhinoplasties. When they come to me right after surgery, patients are frustrated if 1) the desired result was not achieved as recorded before the surgery, there is an undesirable result with bumps or asymmetries AND 3) the surgeon disagrees with the patient on the outcome. Have the surgeon show you before the before and after results or read the goals to you. If your surgeon agrees and asks you to wait and reassures you that they will do their best to achieve a result AND you trust the your surgeon, then you should listen and wait. If your surgeon is unable “to see” your concern or tells you it is what you wanted and it is clearly not a desirable result, you would be justified in seeking a second opinion. Remember, this will cost you more money, and only your surgeon has seen and understands your anatomy…still you have to trust your surgeon if a revision is being considered.
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March 4, 2024
Answer: It is usually best for your surgeon to address as long as you trust your surgeon In your case their may be problem but generally the healing and changes are not over until one year. I suggest you to be forthright about the appearance of your nose relative to the features you wanted. Tell the surgeon how you feel. Your surgeon has recorded your desired appearance in your chart and/or with photo morphing (changing your nose to on the computer). In my experience (over 3000 nose surgeries) about 1/3 of those revision rhinoplasties. When they come to me right after surgery, patients are frustrated if 1) the desired result was not achieved as recorded before the surgery, there is an undesirable result with bumps or asymmetries AND 3) the surgeon disagrees with the patient on the outcome. Have the surgeon show you before the before and after results or read the goals to you. If your surgeon agrees and asks you to wait and reassures you that they will do their best to achieve a result AND you trust the your surgeon, then you should listen and wait. If your surgeon is unable “to see” your concern or tells you it is what you wanted and it is clearly not a desirable result, you would be justified in seeking a second opinion. Remember, this will cost you more money, and only your surgeon has seen and understands your anatomy…still you have to trust your surgeon if a revision is being considered.
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