5 years ago I had a terrible rhinoplasty in the uk to remove my dorsal hump which I still have plus several other problems-a dent on the right side of my nose,extremely visible graft,left nostril has a bump inside & is pulling up/twisting,nostrils pull outwards and tip pulls down when I smile,my nose whistles and I can't breathe properly.I also have thin skin so require a very skilled surgeon.Can you suggest credible surgeons in America
July 23, 2016
Answer: Revision Rhinoplasty So sorry for your aggravation but all isn't lost..... although your rhinoplasty was not done meticulously or anatomically, you still appear to have plenty to work with..... depending upon the availability of your septal cartilage (you may require rib cartilage), you definitely need bilateral spreader grafting, tip-work to soften your domes and columellar strut grafting to set your tip projection/rotation.... In thin skinned patients (particularly in the setting of revisions), I have had nice success with a fascia 'blanket' obtained from the abdominal wall at the time of rib harvest... although the swelling lasts a bit longer, this technique serves to thicken up the dermis layer of the nasal skinyou can find many plastic surgeons who specialize in rhinoplasty but they can be elusive to identify.... you will need a careful evaluation and a well thought out plan.... the only way to have the confidence of knowing you have chosen the right revision rhinoplasty surgeon is to put a little time/effort into sitting down with a few..... a good starting point is excellent training and board certification but sadly when it comes to rhinoplasty that is not nearly enough.... make sure the surgeons you take the time to meet with have:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. a practice focused on rhinoplasty 4. a willingness to do difficult, secondary and reconstructive cases5. an interest in teaching others how to evaluate and do rhinoplasty properly6. a willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsgood luck
Helpful 1 person found this helpful
July 23, 2016
Answer: Revision Rhinoplasty So sorry for your aggravation but all isn't lost..... although your rhinoplasty was not done meticulously or anatomically, you still appear to have plenty to work with..... depending upon the availability of your septal cartilage (you may require rib cartilage), you definitely need bilateral spreader grafting, tip-work to soften your domes and columellar strut grafting to set your tip projection/rotation.... In thin skinned patients (particularly in the setting of revisions), I have had nice success with a fascia 'blanket' obtained from the abdominal wall at the time of rib harvest... although the swelling lasts a bit longer, this technique serves to thicken up the dermis layer of the nasal skinyou can find many plastic surgeons who specialize in rhinoplasty but they can be elusive to identify.... you will need a careful evaluation and a well thought out plan.... the only way to have the confidence of knowing you have chosen the right revision rhinoplasty surgeon is to put a little time/effort into sitting down with a few..... a good starting point is excellent training and board certification but sadly when it comes to rhinoplasty that is not nearly enough.... make sure the surgeons you take the time to meet with have:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. a practice focused on rhinoplasty 4. a willingness to do difficult, secondary and reconstructive cases5. an interest in teaching others how to evaluate and do rhinoplasty properly6. a willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsgood luck
Helpful 1 person found this helpful
