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Photo collage of over 7.5 year update post rib rhinoplasty
Over 7 years post rib rhinoplasty and all is still super.
Nasal tip abscess may have been due to prolene allergy.
Provider Review
Updated June 22, 2021. My star ratings for Mr Ion is 5 stars based on a 5 year outcome after his first open rhino, handling of the postop abscess, taking me back to theatre, as I love my nose and have come to terms with the asymmetric nostrils. I will not pay for alarplasty or any further revision. The asymmetric nostrils are less noticeable at 5 years unless one looks up my nose so I have given back the 5th star. When confronted with a postop rhinoplasty abscess at 2.5 weeks, Mr Ion saw me same day for I&D, treated with weeks of antibiotics, and subsequently took the time to see me on a Sunday to reexamine and explained why he had used permanent sutures and at 2 months postop took me back to theatre for exploration, restructuring the rib cartilage and replacing all permanent sutures with the longest lasting absorbable suture, PDS. He listened and understood my anxiety over possible future infections with permanent sutures and agreed to take me back to replace with PDS, which dissolves in approximately 6 months. He did not make me suffer and wait a year for revision with a collapsed nose tip and anxiety over the permanent sutures. He did not charge for his fee or the anaesthetist's saying he would cover this himself and I paid the hospital overnight stay fee. The next morning after the operation, he sat down and explained that the infection had not taken away any rib cartilage but instead had caused the base cartilage graft to move which then dropped my tip. He repositioned the base cartilage and the projection is improved or as he put it he has left me with an even better nose! The clinical dilemma was will 6 months with PDS before it dissolves be enough time for my collagen to grow to hold the grafts in place. Fingers crossed the stability remains after 6 months! And now at 5 years plus can say yes it held!!! I was hopeful as why else would some surgeons use dissolvable sutures in the nose and some use permanent. There does not seem to be a perfect answer, which explains the ongoing debate among plastic surgeons over suture material inside the nose. Mr Ion initially got 4 stars for aesthetic appearance in rhinoplasty (as my nostrils are asymmetric when before I had perfect symmetrical nostrils), however he is attentive and takes time to listen and address concerns of the patient , provides postop care and follow up and a willingness to see it through the end with the patient. Now at 5 years post, he gets 5/5 as the pds dissolvable sutures have held the rib grafts in place with scar formation. This is a perfect outcome for a patient with allergic contact dermatitis so can not tolerate permanent sutures and the minor alar asymmetry is a small price to pay for the revision to replace the sutures and rebuild the tip. I have used a pseudonym on this forum.