Septorhinoplasty Jan 2016. My nose has collapsed inwards and appears as a "dent" on my right side. I am also still having difficulty breathing through my left nostril and my alar creases do not appear symmetrical. Will I need an open revision rhinoplasty to fix these concerns? What can be done cosmetically to improve the appearance of my nose? My surgeon also told me he could put fillers in the indented area which I am not comfortable with as I feel this is a "temporary fix". Please help!
October 18, 2016
Answer: Middle vault collapse.... This is a good question; the middle vault is the central portion of the bridge between the nasal bones and the tip. It is important both for appearance and function. As to appearance, it is nice to have the width along a nice line running from the inside of the brow along the nasal bones all the way to the tip. As to function, it is nice to have a smooth line all along the bridge on the right and left side. Based on your photos, it appears you have a cosmetic problem on the right side that can be nicely improved with a spreader graft. On the opposite side though is the breathing problem and that will require a careful intranasal exam by an experienced surgeon. That issue could be a crookedness of your septum, an enlarged turbinate or a number of other factors. These most likely can be improved with revision surgery. I would wait an entire year for almost all the swelling to go away so that your best plan can be made for the revision surgery. I hope you find this information helpful.
Helpful
October 18, 2016
Answer: Middle vault collapse.... This is a good question; the middle vault is the central portion of the bridge between the nasal bones and the tip. It is important both for appearance and function. As to appearance, it is nice to have the width along a nice line running from the inside of the brow along the nasal bones all the way to the tip. As to function, it is nice to have a smooth line all along the bridge on the right and left side. Based on your photos, it appears you have a cosmetic problem on the right side that can be nicely improved with a spreader graft. On the opposite side though is the breathing problem and that will require a careful intranasal exam by an experienced surgeon. That issue could be a crookedness of your septum, an enlarged turbinate or a number of other factors. These most likely can be improved with revision surgery. I would wait an entire year for almost all the swelling to go away so that your best plan can be made for the revision surgery. I hope you find this information helpful.
Helpful
October 18, 2016
Answer: Crookedness A temporary fix is with fillers, a more permanent fix is with revision rhinoplasty. Best of luck....
Helpful
October 18, 2016
Answer: Crookedness A temporary fix is with fillers, a more permanent fix is with revision rhinoplasty. Best of luck....
Helpful
