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Removal of scar tissue - revision specialised surgeon required?

revisionrhinoplastysydneyApr 23, 2017
Primary surgery done in May 2016, I had a small bump and a bulbous tip corrected, I loved my nose when my cast came off. Over the past year it has changed significantly and now looks awful. My surgeon has given me 3 rounds of steroid shots to try to dissolve the scar tissue, my nose hasn't reacted to them. Do I need to find a specialised revision surgeon to remove the scar tissue? My cosmetic surgeon says this will be straight forward but I'm obviously nervous about it turning out worse.

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From board-certified doctors and trusted medical professionals
Dr. Fred J. Bressler, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Apr 25, 2017
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Jonathan Kulbersh, MD

The nose will continue to heal for 1 year after surgery.  I would be patient and let your nose heal.  The tip may become more symmetric over that period.  If there remains significant asymmetry you could consider a revision surgery at that time.  The goal of a rhinoplasty is not perfection, but...

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Jerold Olson, MD

Hello,  From your photo it does appear the dorsum may have been overly reduced. My preference for treatment is septal cartilage if available or, if not, ear cartilage. A fascial graft over this may be helpful but not always necessary. Physical exam, photos and computer imaging are...

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William Marshall Guy, MD

Hello Behien116,There is a lot that goes into a revision rhinoplasty  Your photo does show the cartilage at the tip that is creating a point.  As far as what needs to be done it will likely be more in depth than you would otherwise think.  The reason is that there is scar tissue present.  The...

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