I had a rrhinoplasty a while ago, so all the swelling has subsided. I had a deviated septum surgery, and a columella strut graft. What concerns me is that I feel my columella is far too elongated now. In my opinion, it stretches and elevates out my nostrils in a really unnatural way. I feel like it also makes my nasal base too narrow, and doesn't flatter my wide facial features. Would removing/trimming my columella graft help to relieve some of tension of my nose?
As you can see in the image I have dents/creases either side of my nose which I didnt have before. How can these be addressed in my revision rhinoplasty? Its making my tip look droopy. Would lateral crural strut grafts help address the creases? What are the disadvantages of adding lateral crural strut grafts? Why arent they done in primary rhinoplasties? Can this be corrected in a closed approach?
Extremely Thick Strut? Hello so I had my rhinoplasty around six months ago. It was a tip plastic with rib strut graft. The problem is that my doctor has made my strut way too thick and I am having extreme difficulties breathing. I have measured it with my fingers and can confirm it to be 8 millimeters thick. Can someone tell me if thats a normal thickness for a strut??? Ive seen online and it says that the thickness is usually 2-4 millimeters. Will trimming it that much have any risk of it breaking??
The septal extension graft is making my nose extremely hard and stiff and i will like it removed. Can it be replaced with a columellar strut graft so the tip isn't as hard as a rock while still having some sort of structure?
In my primary: Bridge work and columelar skin shortrning was done , no alarplasty was done. I did have secondary to extend the columelar strut graft. I am satisfied with the nasal size just dont with my nostril size from the sides. I never had alarplasty. What happened is in my primary by shortening my columela now my nostrils look wider and shorter. I whatsapp clinics all the time to ask but they say cartilage is the fix. Tried didnt work for that. I believe I need v-y or columela skin flap
I had a primary septo rhinoplasty over 2 years ago and am very unhappy with the tip. There is a columllar strut graft in an unnatural position and sticks out. There is another circular tip graft that sticks out on one side and shows through my skin. It gets red often too and shows a lot in pictures. Primary offered a revision. We discussed both removing the grafts or shaving them down. What would you recommend? What are the implications of each procedure? And what happens to the tip if removed?
Hello :) Im currently 6 months post op from my septorhinoplasty with colum stut graft and when I first got by cast off (middle photo) I was absolutely in love with my new nose. It wasn't until I got to about week 5 when the swelling went down that I realised features of my old nose (first photo) were starting to reappear (last photo) my tip had dropped and looked bigger and the shape of my nose had gone back to being pointy like it used to be. Will I need a second rhinoplasty?
In my primary the doctor added a columellar strut graft in my tip without discussing with me, it's incredibly annoying and my tip didn't need lifting. Now my tip is overprojected and too lifted. What would happen if I remove the columellar strut in a revision? Can it be removed?
I had a revision septorhinoplasty with rib graft just over two years ago. I am extremely unhappy with the result. My surgeon told me 6 months after the revision that the rib graft he used was calcified, so grafts are too thick. I had bilateral extended spreader grafts & LC strut grafts, right strut graft has been since removed upon advice of the surgeon due to being placed too high. What are my options to fix this?
I am one year post op from rhinoplasty. Unfortunately my nose was over-rotated and now looks short and I feel like it does not fit my other features. My doctor used suture techniques and a columellar strut but I am unsure if he has shortened my septum. My doctor likes how my nose is and will not do revision. Would lengthening the nose require firm grafts or could other techniques be used? I am already uncomftortable with the columellar strut and would not like my nose to be harder. Thank you.