Can you fix a collapsed nasal bone with revision? Recommend some very good revision surgeons that may be able to fix it (Photo)

Question

During my rhinoplasty 3 months ago my left nasal bone "cracked" or "caved in" during surgery. I have been left with a very crooked, asymmetric nose from the front. Is there a way to fix this to restore how straight my nose used to be? My right nasal bone seems to have healed very wide as well. It protrudes. My surgeon says a revision to fix this may only make thinks worse. I'm feeling very hopeless. I didn't want how I looked from the front to change and this has ruined everything.

William Portuese, MD · Answer

A revision rhinoplasty can accomplish straightening of the crooked nose. To straighten the crooked nasal bones requires osteotomies placed in the them. Sometimes, patients also require a spreader graft placed underneath a concave upper lateral cartilage in the mid-portion of the  nose.  Digital computer imaging would be helpful to understand what can be accomplished with  your nose upon your facial features. For many examples of crooked nose repair in our practice, please see link and the video below

Steven Wallach, MD · Answer

At 3 months you are too early to have a revision. You will have to wait at least one year after surgery to allow for swelling to subside. Best of luck.

Samir Shureih, MD · Answer

Yes I can correct it !.A collapsed nasal bone can be corrected, and the npse deviation van be corrected and the tip better refined

Adam Hamawy, MD · Answer

Revision rhinoplasty is all about restoring structure and support.  A collapsed nasal bridge may be repaired by placing visible spreader grafts and coverage with overlying diced cartilage grafts.  This will both restore a smooth aesthetic contour for top and front of the nose and ensure that your breathing is not compromised.  However, it is important to allow enough time for the nose to heal from the first procedure before having revision.  3 months is still too soon for a revision.   I usually recommend a full year or at least six months of recovery before revision.  In the mean time, if the deformity is obvious, it can be temporarily corrected and hidden with an injectable filler.

R. Stephen Mulholland, MD (retired) · Answer

Dear alli_104,

Thank you for your clinical post and
photographs.  It does appear from the
photographs that there is a sidewall, collapse or indentation and this is a
known complication of a reduction rhinoplasty surgery.  Three months is too early for revision,
however, a soft tissue filler injectable in the area of the collapse and on the
bridge can camouflage this nicely. 
Injectable rhinoplasty following surgical rhinoplasty, camouflage
raised, elevated nasal bones or collapsed nasal bones during the healing
phase.  As the injectable lasts 7 or 8
months by the time the injectable is gone you would be in a post-operative
state that would facilitate surgical revision. 
Generally, surgical revision revolves refracturing the nasal bones
and outfracturing them or reducing the collapse and generally this is
successful.

A visit with your plastic surgeon to
discuss these issues or another plastic surgeon that can offer some
alternatives is likely your next best choice.

I hope this information is of some
assistance and best of luck.

To find out more, please visit the
link below.  Also visit the areas on
rhinoplasty.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,

Yes you are a good
candidate for rhinoplasty surgery. You may want to get computer imaging to see
what your nose could ultimately look like. Make sure you see an experienced ethnic
rhinoplasty surgeon that can stand by his/her results.

Best,

Dr.S.

Can you fix a collapsed nasal bone with revision? Recommend some very good revision surgeons that may be able to fix it (Photo)

Answers (6)

More Revision Rhinoplasty Questions

One month after rhinoplasty, tip was lifted too high and my nostrils show too much. When can I have a revision? (Photo)

What are the odds of a completely successful revision rhinoplasty? (Photo)

My nose looks very small? (photos)

Does insurance ever cover revision surgery for a deviated septum?

What is the best way to improve a retracted columella? This would be a revision surgery. (photos)

WE SEND PRETTY
EMAILS