Location: New York, NY
Member since 9/30/2013


  • 146 total posts
  • 3 discussions
  • 59 questions

Questions from anonpatient

At What Point is It Counterintuive to Take Prednisone After Rhinoplasty? At 3 Months, Nose is Always Swollen/filled with Liquid?

I suffered a bump after seeing the final revision rhinoplasty result & the swelling around my nasal tip implant (Porex) is turning into scar tissue; one side of my nose... READ MORE

Nose very big due to prolonged swelling/scar tissue after 2nd rhinoplasty; is it pointless to hope for a better outcome safely?

Thick, oily skin. In 2nd rhino, surgeon debulked nose,elevated tip,removed old scar tissue, & augmented tip w/small Porex implant. Saw final "result" in wk 6 but was... READ MORE

One side of my nose was injured after Rhinoplasty, so one side experienced prolonged swelling. How can revision correct this?

1 yr post open rhinoplasty w/ ear cartilage & small implant in tip, no bone breakage. Nose healed well & symmetrically till blow on one side just after 1 month post op; injury... READ MORE

Can I fix a breathing problem after a Rhinoplasty, without undo the aesthetic benefits of surgery?

I had open revision rhinoplasty removing a bulky graft seven days ago. I know I'm still swollen, but one nostril in particular has given me trouble since the "bad" rhino 1 yr... READ MORE

Surgeon didn't address breathing issues in open rhinoplasty. Suspect internal valve collapse. Can I address in closed procedure?

I had a revision tipplasty & assumed my surgeon would debulk the sides of the nose & the area above the left nostril, which has been hard to breath out of due to bad healing of... READ MORE

Can scar tissue be removed in closed procedure to help with breathing?

I went recently had an open tipplasty w/septal augmentation and hoped my surgeon would address the internal vault issues I've had scar tissue compressing the roof of my left... READ MORE

Should I have requested a nose be re-rotated to keep the shortening effect when switching out an implant for natural cartilage?

I recently had a nose that had been rotated 1-3mm & projected with a synthetic implant switched for a septal graft. After the rhino using the imp The original implant was in my... READ MORE

Followup: 1 month post septorhino. No old scar tissue was removed, and graft is deviated. Feel severe pain. How do I get relief?

Three wks ago I had a revision rhinoplasty but my surgeon did not remove mature scarring before he resected a septal graft & put it in. B/c the nasal tip was crooked,he put the... READ MORE

Earliest period a rhinoplasty can be modified to help breathing due to nasal obstruction?

My surgeon performed open rhinoplasty on the tip & only the tip. Surgery took 1.5 hours; he replaced a graft & put the graft in deviated, constricting an already semi-closed... READ MORE

Follow-up: Misplaced cartilage graft obstructing breathing. How soon can this be revised?

I am 3 wks post op & a septal onlay cartilage graft is pushing into my septum/totally obstructing breathing in left nostril. Mature scar tissue from previous rhino never... READ MORE

Can a deviated nose be fixed endonasally?

My surgeon put in a septal graft in my tip, in a nose that was derotated only on the left side. I am now unable to breath because the left nostril is bring compressed/pulled... READ MORE

Is it easy to add moderate projection to a nose to balance projection and tip elevation with an endonasal approach?

I had an unsuccessful rhinoplasty that left the tip very underprojected on the right side but suitably projected in the left. H/e, the left side is derotated and has literally... READ MORE

Is nasal projection and elevation needed to bring the top lip forward?

I have a bulbous, droopy, deprojected tip. I want to bring my upper lip foward; right now my lower lip juts when I smile or speak. How can I plan out a revision and advise my... READ MORE

How can I fix a deviated, derotated, bulbous nose?

A trauma after rhinoplasty led my tip to deviate and derotate entirely to the left. There is actually a dent on the right tip as a result. The left side is overprojected/1 mm... READ MORE

Can a graft be septal readjusted without replacement?

My septal cartilage only graft was put in a derotated nose. The derotated was not corrected before the graft was put in. I can see it's much bigger on the left than the right.... READ MORE

Can septal cartilage be harvested endonasally?

My surgeon left me with too little tip elevation in revision. I need to be rotated in one direction & think I need a longer caudal strip. Now what? READ MORE

Any NYC surgeons willing to use medpor tip top graft to narrow a tip?

I had a rhinoplasty w/ a septal shield graft, and hate how it looks/feels. I like the results that come from trimmed medpor grafts & feel that if the implant is placed in ear... READ MORE

Had septoplasty & shield graft put in too low. How do I get air?

I'm two months post op & my breathing upon inspiration is a lot worse because the shield graft was put too low. I am only breathing through 1 nostril & have nasal drip. When I... READ MORE

How do you narrow a wide dorsum without breaking bones?

I have a wide, droopy tip and dorsum. When I pinch my dorsum onto my natural bridge, I can breath well and also think my nose looks more attractive. I want a rhinoplasty that... READ MORE

Lung pressure and pain after rhinoplasty, felt mostly at night. Pulmonary edema?

I am six weeks post-op for septo-rhino & my breathing has gotten worse. I have nasal valve collapse b/c the graft put in widened my dorsum so much I can't breath well, my... READ MORE

What are the best methods to stabilize a shield graft in an Asian patient?

I had a rhinoplasty with a septal shield graft and notice the tip is dropping. I need a revision for additional scar tissue removal, but I was wondering if a graft can be... READ MORE

How do I find a surgeon that will give me a certain sort of implant material?

After much thought I feel I need an implant in my nose. One surgeon suggested rib; another will suggest a lot of grafts. I just feel this is unnecessary, & more importantly,... READ MORE

How do Gore-Tex, Medpor and Silastic compare when properly used in Indian/Asian short nosed patients?

It's my understanding that placement of the implant in natural cartilage is the real onus of any implant to help a patient augment a low bridge/support a tip through the dorsum... READ MORE

Are surgeons actually willing to perform surgery around six months if a patient is deformed?

Two months ago, surgeon really derotated my nose. He didn't touch scar tissue formation I needed removed. The valve issues I'm experiencing are causing really bad headaches, &... READ MORE

Can I have an implant replaced?

A had a botched surgery and literally all my surgeon did was remove ear cartilage and well-placed medpor graft he advised me was inhibiting scar tissue removal. He removed none... READ MORE

Is a columellar strut necessary? Can it be modified easily?

A surgeon sewed me up at 0 mm, meaning my columellar strut is very tight. I don't like it. I want to be 1-3 mm so I can smile comfortably. Swelling is not the problem now, poor... READ MORE

How many times can the ear be harvested for cartilage?

I had a poor rhinoplasty result using cartilage from the back of one ear. I have a misplaced septal cartilage graft in my nasal tip now that I'm not sure is safe to re-use and... READ MORE

Can I deal with an injured valve AND refine my nose?

I was injured a year ago-causing scar tissue & swelling in my bridge & tip- & have undergone an open rhino where my dorsum & tip were lowered. The nasal valve weakness is in my... READ MORE

How do I determine the cause of upper lateral valve collapse?

I was injured before rhinoplasty. My nose swelled badly in the tip, dragging the nose down. My upper lateral valve felt a lot of pressure, headaches and throbbing a few months... READ MORE

I have a droopy, thick skin nose & upper lateral wall valve collapse. Can I reshape my tip & dorsum while helping the valve?

I have weak septal cartilage, upper lateral wall valve collapse causing pain, & want a rhinoplasty revision for scar tissue and a bulbous, droopy tip. Can I correct all these... READ MORE

I'm Indian, and had non infected, non extruding implant removed based on bad advice. Now nose is collapsing. What can I do?

I had a medpor strut graft in a conchal bowl removed b/c I suffered a severe enough blow to the nose that it caused the tip to derotate, but I have thick skin & the amount of... READ MORE

What would happen if I had a shield & strut graft removed? They're hurting me, are unattractive, they're obstructing breathing

A surgeon sewed my nose twisting to the left w/a strut & shield graft. It was a mistake to go thru w/surgery. I'm 2 months post op & the face/headaches get worse & worse b/c he... READ MORE

What is the best way to craft a soft, natural columella while supporting a droopy tip?

I'm Asian and have short nasal bones. I have a septal cartilage strut in a shield graft and feels it looks and feels very unnatural. I'm also a revision patient, but would... READ MORE

What facilitates breathing in a revision rhinoplasty, without making a nose wide?

I had a bad revision that led to a widening/deprojecting of my nasal tip. My airways are very wide but my nostrils are so far from each other I am only breathing through one or... READ MORE

What size conchal bowl/ear cartilage graft is needed to support the dorsum and tip in a female patient?

According to post op notes my surgeon used a .5 mm conchal bowl in my tip to cushion it and raise my dorsum. On average, in short-boned noses, what size ear cartilage graft is... READ MORE

Does ear cartilage grafting cost more?

I am an Asian thick skinned patient w/a septal shield graft that is not supporting my nose & really feel the contour/projection of ear cartilage would be preferable. (I also... READ MORE

Surgeon left conditions of injury unresolved in rhinoplasty. Pain worsened. How can I deal with the pain?

My nose was derotated or deviated in injury, shifting the dorsum and tip to the left. No bones were broken, but my cartilages were shifted/collapsing to the left around an... READ MORE

How can I figure out how many degrees I need to be rotated in nasal tip revision?

I had a revision for a droopy, bulbous tip and my surgeon actually derotated my nose so that I have a witch nose when I smile. I had a droopy tip before; it's twisted down to... READ MORE

2/3 of my nose hook down while smiling after implant removal. What can I do in revision?

I was injured, (lower lateral cartilage healed derotated-I actually watched the nose drop/shift after injury), about 1 mm elevated, and derotated to the left when I sought a... READ MORE

Can counterrotation after Rhinoplasty relieve a collapsed sidewall?

I was derotated around a tip graft holding my lower lateral cartilages together. The left cartilage derotated due to being knocked very hard in the face. I know that's what... READ MORE

Injured and derotated after 3rd tipplasty. Are my goals to address my breathing/aesthetic issues realistic?

In injury, my alar cartilages were derotated around a bilateral strut used for cleft deformity (ear cartilage in dorsum) & left w/ a lot of scar tissue in my left sidewall. A... READ MORE

What are the risks of bilateral spreader grafts (lateral wall) & how do I know if I need them in revision?

Yrs ago had a good rhinoplasty ear cartilage in dorsum & alloplastic columellar/bilateral strut. Unfortunately, dorsum was pulled/hit in assault--no bones broken. In bad... READ MORE

Upper lateral cartilage sagging due to botched bridge/tip rhinoplasty. Will spreader flaps be enough? Risks?

I was hit in my middle nose after rhinoplasty. Nasal tip completely derotated to the left, but no bones broke. I started having throbbing headaches that I thought were due to... READ MORE

What tip cartilages are rotated to shorten/narrow a wide, droopy nose?

I have a wide, droopy nose I'd like shortened (supported with columnar graft), narrowed, and slightly projected in revision. Nasal tip is also asymmetric; one dome/nostril is a... READ MORE

Revision patient; how can a new surgeon tell if my septi muscle was already if it's not in operative nose?

I am seeking a rhinoplasty to revise droopy tip. I was injured after a successful rhinoplasty that completely undid the rotation, so it confuses my ability to plan a revision.... READ MORE

How do I determine how to elevate my tip safely and permanently in revision rhinoplasty?

I have a very droopy tip, heavy skin, short nasal bones, & a nose that's proportionally too long/heavy for my face. I have heavy skin and currently when I smile my upper lip is... READ MORE

Is addition of cartilage grafts really even necessary for revision patients?

I'm a third time revision patient that got a misguided revision but am now ultimately wondering if I need any grafts (or limited) as I plan a final revision. I wanted my... READ MORE

I have breathing problems, and my tip dropped after an injury. Can it be fixed easily?

I was hit in the nose & the left side swelled up, including my nostril rims. That side sank. I want my tip rotated, elevated, & projected in revision, so I know that will help,... READ MORE

My nasal valve collapse due to implant removal. Any suggestions?

I had a functional implant removed after it was shifted without a plan to replace it because I did not know I could simply shift it back into place & did not discuss this... READ MORE

Follow up: Can I have nasal implant replaced if nose is swollen from removal surgery?

3 months post op. A surgeon removed a nasal implant & ear cartilage in tip b/c both had shifted. He did not offer to simply straighten existing implant or to provide equal... READ MORE

Follow up: NYC surgeons comfortable replacing an implant?

I am a revision patient. Two years ago, I was hit in the face when I had an implant in my nose, shifting it. I had it removed 12/14 because I didn't know what else to do to... READ MORE

How does the skin envelope relate to valve collapse?

A lot of things went wrong in revision, one of them being that my nasal tip & dorsum were lowered off a lot. I was derotated. I want from a "tall", well-breathing nose with my... READ MORE

followup: NYC surgeons comfortable replacing my medpor/Porex tip top graft? It was put in to prevent valve collapse

Indian patient, wide nasal bones. In 2013, primary surgeon put top graft (y-shaped columnellar bilateral strut implant inserted deep around septum) in nose, allowed me to... READ MORE

How is MRSA avoided in revision rhinoplasty?

How can I ensure my selected surgeon, his/her facility, the grafting materials he will need to use, and my own body can provide optimal results? I know if alloplastic... READ MORE

Can harvesting of septal cartilage cause valve collapse?

I'm undergoing valve collapse for other reasons in my very wide nose--one being totally lack of support and actual collapse of the dorsum. I had a septal shield graft harvested... READ MORE

What exactly is augmentation, and how does it relate to grafting?

I had a rhinoplasty and would like a revision. I made the mistake of asking the surgeon for "minimal augmentation". He used a septal shield graft. The columnellar strut is so... READ MORE

I am an Asian revision rhinoplasty patient. Can my septum become deviated and weakened if I allow it to be harvested for grafts?

My septum's always been a little deivated & I worry it is a little deviated after a trauma. I noticed the most change after a 2nd revision. In primary, I had a rhinoplasty that... READ MORE

Crooked nose or crooked septum following an injury? How can I tell?

I experienced a nasal trauma after rhino that shifted the entire nasal tip to the left. I also went through a poor revision that left a lot of issues unaddressed (nose still... READ MORE

What is rotation of nasal tip cartilages? Can rotation vary to degrees?

What does a surgeon do to rotate a nasal tip? Is there a difference between nasal tip rotation and tip elevation? If I want to create the illusion of a smaller nose without the... READ MORE

Discussions started by anonpatient

Can I get cosmetic surgery even if don't have any private health coverage in case of emergencies?

I plan to get a revision for cosmetic surgery & am temporarily losing private health insurance. I am paying for the surgery, out of pocket, of course, but get the impressions... READ MORE

Patients, please be careful of the grafts being put in you.You need to see pictures of what it looks like in a nose online first

I made a huge mistake letting someone wreck a deviated nose with a little ear cartilage and turn it into a big blog with a droopy, deformed tip with a septal shield graft. I... READ MORE

Can some ethnic patients tell me about their experiences with osteotomies to narrow the nose and raise the dorsum?

It's been suggested to me more than once the only way to raise my droopy, wide nasal tip is to break and reset my bones. I don't want to. I have a low, short bridge and a... READ MORE

Recent comments from anonpatient

@xonicole101: thank you for answering both times. I'm sorry, Real Self has made it so I can't even read the comments you make to your own review. If I were you, I would add the answer you gave to me to your updates. This is a very,... READ COMMENT

@chrissy: no, you do not have to wait two years. That is what your surgeon told you probably because he doesn't what to deal with you and knows he did bad work. Period. He messed you up. You do not have to wait. If it's been six... READ COMMENT

@chrissy: you can send for them. That is your medical right as a patient. READ COMMENT

@chrissy: please get your operative notes. I looks like you have wide nasal bones. I do too. Please ask your surgeon if your nasal tip cartilages were rotated. It's not you. IT'S SLOPPY WORK. If you friends have good bone structure... READ COMMENT

My God, I'm so sorry. He should be sued. Please get your operative notes before you consider a revision. Find out if your nasal tip was rotated (or derotated, I should say). It looks like it. There are skilled surgeons that can... READ COMMENT