Lining on my right side is not straight - Should i get a revision rhinoplasty? (photos)

Question

Had a Septorhinoplaty 6 months ago...very large pointy asymmetric hump dorsal,droopy tip..The doctor fixed most of my problem..im sort of happy with it but the lining on my right side is not straight I don't know if this was the surgeon's error or if i disrupted the bones during healing...but i think the latter might the true, im not 100% certain. Some lighting can really highlight this deviation...If i were to get revison, would it be worth it? are the risks high?

Ronald J. Edelson, MD · Answer

Your picture isn’t great. However I’d be interested in seeing your before pictures as well. If you had asymmetry  before surgery you could expected some afterwards. It’s too early to consider revision there is probably still some swelling

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have checked your photo and your nose still looks big. I don't know how it was before (if you could provide also photos from before I would be able to make a better evaluation).Effectively your nose looks a little deviated to the right. This can be corrected with a revision surgery but please keep in mind that 100% symmetry is not achievable. Best regards!

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

Is 6 months following surgery you can expect still a significant amount of change from reduction in swelling. Swelling is unfortunately not symmetric which can be disconcerting. In some instances, it may be suitable to use steroid injections to decrease the swelling and to allow you to see the characteristics of the support more accurately.

In the presence of thicker skin it usually takes between 2 and 3 years for the final result to mature.

I suggest that you raise your concerns with your surgeon so that they are aware of your worries but for the time being it is too early to contemplate a revision for the problem that you are showing.

Eric M. Joseph, MD · Answer

The bulge that you're referring to in your photo appears to be a long the path of your left osteotomy. Sometimes slight regularities like this will go away by the time of your anniversary. If you would require repeat osteotomies, this would not be a major undertaking. Hope this helps. Doctor Joseph

Thomas Spalla, MD · Answer

It's a little early to consider a revision. Wait to decide if it's worth it to you at the 1 year mark.Worth it is totally up to you. The risks are a little more when performing a revision rhinoplasty, but the changes you seek aren't as risky as a "total redo." It seems like refracturing the bones and manipulating them may be all that is required given your desires.

Lining on my right side is not straight - Should i get a revision rhinoplasty? (photos)

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