I recently had my second revision , with Dr. Torgerson four months ago- where he use spreader grafts to "open" the nasal passages of my nose. Although cosmetically pleasing on the outside, I can't feel the air going into the nose properly? feels like hollowness not temperature regulated.. I am 4 months post op, can this OCCUR where the donor tissue will cause the breathing senses to compromise? Does the lining eventually heal? CAn someone offer feedback? 4 months seems to be a long time
December 8, 2014
Answer: Be patient At 4 months after surgery, especially in revision rhinoplasty, there is likely residual swelling in the area where the grafts were placed. Hopefully when this swelling resolves over the next few months you will note the breathing improvement that you were hoping for.
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December 8, 2014
Answer: Be patient At 4 months after surgery, especially in revision rhinoplasty, there is likely residual swelling in the area where the grafts were placed. Hopefully when this swelling resolves over the next few months you will note the breathing improvement that you were hoping for.
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Answer: Spreader grafts Dear Veronica mx, Revision rhinoplasty externally performed and internally performed is generally accompanied by prolonged swelling and edema. The indications for use of a spreader graft would generally be for aesthetic contouring of the middle vault or middle third of the nose and if there were compromised airflow through the internal valve. Dr. Torgerson is an excellent rhinoplasty surgeon, so I am sure you’re in very good hands. The use of the spreader graft for either cosmetic or functional purposes would likely not lead to long-term functional compromise in his hands. There is definitely going to be prolonged swelling in secondary rhinoplasty and four months is a little early to make a final analysis of the postoperative airflow down either air passage. In the short and long term, there are some things that can be performed to improve airflow following spreader graft and rhinoplasty. This can include simple injection of hyaluronic acid gel in the internal valve to assess whether additional splinting of a compromised angle will improve airflow, but at this early phase that might be premature and simply returning to see Dr. Torgerson for his reassurance is probably in your best interests at this point. Over the next six to ten months, any long-term compromised airflow will reveal itself and Dr. Torgerson is in the best position to advise you as to the next steps. I do believe over time things will improve. If not, there are steps and measures to improve airflow, even in a tertiary rhinoplasty scenario. I have been performing cosmetic and functional rhinoplasty for almost 29 years, having studied both plastic surgery and ear/nose/throat, head and neck oncology. I can tell you that seeking the expertise of a consultant surgeon with expertise in the plastic as well as the functional ENT component, as you have done, is probably your most important decision. Be patient, stick with Dr. Torgerson and best of luck. For more information, please review the link below. Sincerely, R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
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Answer: Spreader grafts Dear Veronica mx, Revision rhinoplasty externally performed and internally performed is generally accompanied by prolonged swelling and edema. The indications for use of a spreader graft would generally be for aesthetic contouring of the middle vault or middle third of the nose and if there were compromised airflow through the internal valve. Dr. Torgerson is an excellent rhinoplasty surgeon, so I am sure you’re in very good hands. The use of the spreader graft for either cosmetic or functional purposes would likely not lead to long-term functional compromise in his hands. There is definitely going to be prolonged swelling in secondary rhinoplasty and four months is a little early to make a final analysis of the postoperative airflow down either air passage. In the short and long term, there are some things that can be performed to improve airflow following spreader graft and rhinoplasty. This can include simple injection of hyaluronic acid gel in the internal valve to assess whether additional splinting of a compromised angle will improve airflow, but at this early phase that might be premature and simply returning to see Dr. Torgerson for his reassurance is probably in your best interests at this point. Over the next six to ten months, any long-term compromised airflow will reveal itself and Dr. Torgerson is in the best position to advise you as to the next steps. I do believe over time things will improve. If not, there are steps and measures to improve airflow, even in a tertiary rhinoplasty scenario. I have been performing cosmetic and functional rhinoplasty for almost 29 years, having studied both plastic surgery and ear/nose/throat, head and neck oncology. I can tell you that seeking the expertise of a consultant surgeon with expertise in the plastic as well as the functional ENT component, as you have done, is probably your most important decision. Be patient, stick with Dr. Torgerson and best of luck. For more information, please review the link below. Sincerely, R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
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