Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Posted underRhinoplasty q&a

Visible alar batten grafts and bridge irregularities - can this be improved? (Photo)

I’m about 18 months out from primary rhinoplasty and overall my breathing is good, but aesthetically I’m struggling with some issues that have not improved with time. My main concerns: 1) Alar batten grafts • I can clearly see and feel the batten grafts on both sides of my nose. • They create a visible ridge/edge under the skin, especially in certain lighting. • The skin over the grafts looks stretched and the contour isn’t smooth. 2) Bridge contour irregularities • Along the nasal bridge I have multiple dents/potholes and uneven contour. • It looks almost like small depressions rather than a straight smooth dorsum. • Very noticeable in overhead lighting and in photos. I am not looking to drastically change my nose or undo the functional support. I actually want to preserve support and breathing. My goal is simply a smoother, more natural contour. My questions: 1. Is this likely due to graft visibility vs. thin skin vs. scar contracture? 2. Can alar batten grafts be shaved, repositioned, or softened at this stage? 3. Would a fascia graft help camouflage the edges? 4. For the bridge dents, are soft-tissue camouflage options (fascia, diced cartilage in fascia, or filler) appropriate 18 months post-op? 5. Is this considered a minor revision or does it usually require a full open revision rhinoplasty? I’m hesitant to undergo a ln open revision unless absolutely necessary.

Answers (1)

From board-certified doctors and trusted medical professionals
Answer

More Rhinoplasty Questions

See all Rhinoplasty Q&A