Hello so i recieved a tip plasty 7 minths ago and my surgeon used a harvested rib strut cartilage. Up to now, i have extreme difficulties breathing as im convinced that my surgeon has made the strut wayy too thick. I measured it with my fingers and i can confirm it is a little over 1 cm thick. Is this a normal thickness for rib strut grafts??? My surgeon keep telling me its due to swelling but its been 7 months.
July 15, 2024
Answer: Wide graft Great job with the photo! This area can be very difficult to photograph to demonstrate the issue properly. Yes, it appears the obstruction is coming from a very wide septum, and based on your description, a wide graft is likely the cause. It can also be two grafts on either side of the septum. This area is in charge of supporting the middle portion of the nose, as well as giving support to the tip, so we focus on making it strong. However, there is the balance btwn strength and obstructive bulk. You're also a point that is very tricky... the cartilage itself will thin and decrease with time, but this can take many months to years, and there's no great way to predict how much it will thin. Not being able to breath through your nose can be very uncomfortable so waiting years to see how much improvement you get may be frustrating. Going back in at 7 months may also be a little premature because of concerns for blood flow and possibility of improvement without surgery over the next few months.This is not a case that has a clear cut answer, but rather one where we would have to weigh out all the pros and cons, then make a decision. From what I'm seeing in your case, if possible, I would favor waiting until the 11 or 12 month point.I hope this helps.
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July 15, 2024
Answer: Wide graft Great job with the photo! This area can be very difficult to photograph to demonstrate the issue properly. Yes, it appears the obstruction is coming from a very wide septum, and based on your description, a wide graft is likely the cause. It can also be two grafts on either side of the septum. This area is in charge of supporting the middle portion of the nose, as well as giving support to the tip, so we focus on making it strong. However, there is the balance btwn strength and obstructive bulk. You're also a point that is very tricky... the cartilage itself will thin and decrease with time, but this can take many months to years, and there's no great way to predict how much it will thin. Not being able to breath through your nose can be very uncomfortable so waiting years to see how much improvement you get may be frustrating. Going back in at 7 months may also be a little premature because of concerns for blood flow and possibility of improvement without surgery over the next few months.This is not a case that has a clear cut answer, but rather one where we would have to weigh out all the pros and cons, then make a decision. From what I'm seeing in your case, if possible, I would favor waiting until the 11 or 12 month point.I hope this helps.
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July 12, 2024
Answer: Deviated septum Hello and thank you for your question. Based on your photograph, you appear to have a deviated septum. This can be fixed with a Revision surgery.. 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.
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July 12, 2024
Answer: Deviated septum Hello and thank you for your question. Based on your photograph, you appear to have a deviated septum. This can be fixed with a Revision surgery.. 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.
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