Cartilage poking columellar 5 years post op - will I need a revision? (Photos)

Question

Had a great rhinoplasty (within realistic expectations) with slight discoloration on the bridge which I am okay with but the last few months I’ve noticed a poking feeling cartilage peice under my nose. What could it be? What could have happened? I haven’t hit my nose super hard in the past 5 years, just the typical baby head butts. But no bleeding. Is there a revision in my future? Did something pop loose? Uhg. Stressed out. Any advice or theoretical situations will help me. Just trying to think

Gary M. Horndeski, MD · Answer

I recommend you obtain your operative note to see if you had a cartilage graft or not. This may represent the graft shifting or you may have fractured the junction of your medial lateral crura and a piece of cartilage is poking. This will most likely need to be revised.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You should find out if you had a cartilage graft in your tip at the time of surgery. It could either be that or a kinked piece of cartilage. If the skin over it thins out too
Much you may need a minor revision

Eric M. Joseph, MD · Answer

If you are overall happy with the appearance of your nose, depending on your examination, a permanent non-surgical nose job with microdroplet Silikon-1000 may be considered for camouflaging that edge of cartilage that appears to be poking through the skin at the base of your nose. I hope this helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a a revision to help fix this cartilage asymmetry in the infra lobular tip. A mastoid tip graft can also be added to ensure that this does not happen again in the future. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Cartilage poking columellar 5 years post op - will I need a revision? (Photos)

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