What are my options if I feel I want to achieve more dorsal height post op?
Doctor Answers 6
More dorsal height post-op
Thank you for your clinical post and sharing your concerns. In substantial dorsal height augmentation requires interventional procedures, however, you are still very early post-operatively and allowing time for swelling and surgical stiffness to resolve is critical period. In general, most surgeons would recommend you wait one year prior to doing any other dorsal augmentation surgery. Dorsal augmentation options would include Silastic implants or otogenous tissues such as your own rib cartilage. Significant height can be achieved with these techniques but they are invasive and require a second surgery.
Another option would include soft tissue filler injection to temporize until at least one year has passed since your first surgery. Soft tissue fillers such as Juvederm Voluma can been injected generally at approximately six months relatively safely.
I think you can ultimately achieve the dorsal height that you seek, however, seek out carefully the device of surgeons with a lot of secondary rhinoplasty experience and dorsal nasal otogenous and Alloplastic augmentation techniques.
I hope this information has been of some assistance and best of luck.
For more information, please review the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Early post op dorsal height concerns
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Achieving more dorsal height post op
The clinical situation which you are currently describing indicates that you are EXTREMELY EARLY in the post operative healing phase following your augmentation rhinoplasty. Most rhinoplasty surgeons do not consider a nasal profile a "final result" until the 1 year follow-up interval. Therefore, you're liable to experience significant changes in the nasal soft tissue envelope moving forward in your recovery period. Without having the opportunity to directly examine you, I cannot specifically council you regarding these anticipated changes. That is why it is critically important for you to discuss your concerns with your operating surgeon so that he can put your current clinical status in perspective with anticipated changes and, if appropriate, following complete healing, make any revisional recommendations.
Best of luck with your rhinoplasty recovery!
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.