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Posted underRevision Rhinoplasty q&a

2 years post op - do I possibly have inverted V deformity? (photos)

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Eclectic993910Jun 23, 2024

Hello, I’ve had my primary rhinoplasty in 2022 and a small revision for scar tissue build up in 2023. I plan on seeing my surgeon soon to see what we can do to fix the dent on my left side.

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
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Answered on Jun 25, 2024
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Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Jun 25, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. It really depends on the surgical techniques used by your surgeon and how far out from surgery you are. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person. Best wishes and good luck...

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Eric M. Joseph, MD

Kenalog injections may be helpful for swelling and scar tissue in the supratip area. Injections into the nasal tip may lead to skin atrophy. I hope this is helpful, and thank you for your question. Sincerely, Dr. Joseph

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It really depends on how far out from surgery you are. If you are just several months postop, then you should definitely allow more time for the swelling to resolve. If you are longer then yes in the future grafts can be removed and a revision can be...

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Eric M. Joseph, MD

The good news is that if you have a persistently under operated nose, it's an easier fix than a nose that has had too much taken away. We have seen cases similar to yours where somebody goes for a second operation and things simply don't change that much. Please consider getting a copy of your...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your description, this sounds like a septal perforation. You should definitely not be picking it. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person. Best wishes and good luck...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you will require complex columellar reconstruction. This can be accomplished with a complex columellar onlay graft, consisting of both cartilage and fascia, and then skin reconstruction. I recommend that you seek consultation with...

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