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I had open rhinoplasty 7 weeks ago to remove a dorsal hump; will I need a revision?

han64Jul 13, 2016
I had open rhinoplasty 7 weeks ago to remove a dorsal hump which I hated on side view and also oblique. My surgeon also narrowed my nose to prevent open roof and placed spreder grafts. I am quite happy with my side view which fairly smooth but my front view appear so wide and almost appears wider than pre op. I understand that swelling can take up to a year to go down but the sides of my nose are hard As bone. He did say I had a Very prominent nasal vault. Do I need revision? Will I have to pay

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Barry M. Weintraub, MD, FACS
Board Certified Plastic Surgeon
Answered on Jul 14, 2016
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Dr. Fred J. Bressler, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Jul 14, 2016
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John Bitner, MD

I am so sorry that you are having to go through this.  As has been stated by others, this is generally an area that heals quite well and has minimal risk of hypertrophic scarring.  I would not recommend jumping in to any type of revision but continue to treat the area with non-invasive or m...

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Richard Ellenbogen, MD (retired)

You must read my article in the Aesthetic Surgery Journal  "Nostrilplasty: Raising. Lowering,Widening and symmetry correction of the alar rim "  May June 2002   I was awarded aaward for this article and have done it over 100 times

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Richard Bloom, MBBS (Hons), FRACS

Hi there and thanks for posting.I agree with your assessment that your nasal tip has not been adequately treated. It is not in balance with the dorsum of your nose.It is difficult to assess from your photos but it would appear that your tip is too long in relation to the dorsum of your nose,...

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Dennis Barek, MD (retired)

Injecting the nose is terribly painful. When I was young man, I personally had a revision of my tip, done under local anesthesia. I would never do that again.Get an excellent anesthesiologist in the OR. Its worth it.

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Ernest Robinson, MD

If the rib graft is bone, it can be modified, if it is something as minor rasping or onlay cartilage may be employed.If it is rib cartilage, an additional small onlay may also be placed, or the opposite side carved thinner.  If the entire bone or cartilage needs to be re-positioned this may be ...

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Arian Mowlavi, MD, FACS (license on probation)

Goretex infection can be fixed with implant removal, and reconstruction with autologous rib grafting effectively; you will also require prolonged antibiotic coverage based on your cultures. Please see example of implant infection case below.

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