Previous op's were closed. New MD does open procedures. Plan to use cartilage from the ear and fascia from the scalp to add some cushioning to my nose. MD has quoted me a 10% risk of skin necrosis. This seems high,and yet he seemed to agree that will all my deformities, revision was a good idea. How common is skin necrosis in revision patient's with very thin skin and can the risk really be that high? Thanks!
Answer: Skin necrosis after revision rhinoplasty Hi canuckgirl810That seems pretty high, but of course none of us have examined you. The use of temporalis fascia is recommended in patients with thin skin, and use of cartilage from non-nasal sites is common.If you have more questions about risk, it is probably a good idea to multiple opinions from doctors in person.
Helpful
Answer: Skin necrosis after revision rhinoplasty Hi canuckgirl810That seems pretty high, but of course none of us have examined you. The use of temporalis fascia is recommended in patients with thin skin, and use of cartilage from non-nasal sites is common.If you have more questions about risk, it is probably a good idea to multiple opinions from doctors in person.
Helpful
September 11, 2015
Answer: Risk of skin necrosis in revision rhinoplasty Revision rhinoplasty requires a very careful dissection which is made more difficult by scar tissue from.the previous surgery, and in difficult.case is best done by a surgeon with a great deal of experience. Skin necrosis is a devastating complication that fortunately is very rare. I would not proceed with the operation if the risk is that high, and seek another opinion.
Helpful
September 11, 2015
Answer: Risk of skin necrosis in revision rhinoplasty Revision rhinoplasty requires a very careful dissection which is made more difficult by scar tissue from.the previous surgery, and in difficult.case is best done by a surgeon with a great deal of experience. Skin necrosis is a devastating complication that fortunately is very rare. I would not proceed with the operation if the risk is that high, and seek another opinion.
Helpful
September 10, 2015
Answer: The Risk Of Skin Necrosis Following a Revision Rhinoplasty is Real-But Is Low All procedures carry a certain amount of risk. Revision rhinoplasty is no exception. An open revision rhinoplasty does have a higher risk of skin necrosis than a closed revision rhinoplasty, but because of the complex nature of your revision, it does sound like an open procedure may ultimately give you a better result. While I don't think the actual risk of skin necrosis is nearly as high as your surgeon is saying, I do think he or she is doing this on purpose. Skin necrosis, no matter how low the risk, is still a real possibility, and you need to know this before deciding on any kind of a revision procedure. My suggestion would be to make another appointment to visit your surgeon and specifically address this particular issue. My guess is that you will get a pretty good idea of how concerned he or she really is about this possibility, which should help you make the right decision. Good Luck.
Helpful 2 people found this helpful
September 10, 2015
Answer: The Risk Of Skin Necrosis Following a Revision Rhinoplasty is Real-But Is Low All procedures carry a certain amount of risk. Revision rhinoplasty is no exception. An open revision rhinoplasty does have a higher risk of skin necrosis than a closed revision rhinoplasty, but because of the complex nature of your revision, it does sound like an open procedure may ultimately give you a better result. While I don't think the actual risk of skin necrosis is nearly as high as your surgeon is saying, I do think he or she is doing this on purpose. Skin necrosis, no matter how low the risk, is still a real possibility, and you need to know this before deciding on any kind of a revision procedure. My suggestion would be to make another appointment to visit your surgeon and specifically address this particular issue. My guess is that you will get a pretty good idea of how concerned he or she really is about this possibility, which should help you make the right decision. Good Luck.
Helpful 2 people found this helpful
September 10, 2015
Answer: Closed rhinoplasty revision A closed rhinoplasty should significantly reduce the risk of necrosis and the tip of the skin, since all of the incisions are placed inside the nose and not across the columella where the blood vessels which nourished nasal tip skin. A revision rhinoplasty is extremely difficult to perform correctly, so choose your rhinoplasty surgeon widely based on experience
Helpful
September 10, 2015
Answer: Closed rhinoplasty revision A closed rhinoplasty should significantly reduce the risk of necrosis and the tip of the skin, since all of the incisions are placed inside the nose and not across the columella where the blood vessels which nourished nasal tip skin. A revision rhinoplasty is extremely difficult to perform correctly, so choose your rhinoplasty surgeon widely based on experience
Helpful
September 11, 2015
Answer: Nasal skin necrosis I think that is a pretty high estimate. In general, revision cases are much more difficult and there is more scar tissue. There are very few times that I would say the risk of actual necrosis is that high. However, that surgeon has seen you in consultation and I have not. Best of luck
Helpful 1 person found this helpful
September 11, 2015
Answer: Nasal skin necrosis I think that is a pretty high estimate. In general, revision cases are much more difficult and there is more scar tissue. There are very few times that I would say the risk of actual necrosis is that high. However, that surgeon has seen you in consultation and I have not. Best of luck
Helpful 1 person found this helpful