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Emerson, NJ

Revision Graft

This past March, I needed sinus surgery and correction of a deviated septum. Given the fact I was going to have the surgery, I elected to have a rhinoplasty to address a small bump on my bridge at that time. The surgeon mentioned he would also deproject the tip. The surgery was for the most part successful. I was happy with the cosmetic look of my nose. However at the side of my bridge there was a bump that made it impossible for me to wear my glasses.

Two weeks ago I consulted the surgeon & he said it would need to be addressed surgically (rasping), but that it was an easy fix. He also metioned there was a depression between the tip & the bridge that he would like to address with a graft. I agreed to his suggestions, after all he is the expert. I did ask about swelling, as my 20th class reunion is next month. He said it would not be problematic as the surgery would be a quick procedure.

Last Friday I had the surgery & today I had the cast taken off. I am in shock! Gone is my gently sloping round nose. In its place is a large Roman nose. The hump (where the graft is) projects quite a bit beyond the base of my nose at the top & the tip. It looks like the "before" pics of most people's rhinoplasty pics. I have been in tears all day. How can the surgeon have changed my nose so drastically? Is it possible that this can be swelling & the nose I love will be back? I spoke with the surgeon & he did mention that he felt an "elevated" nose would be more suitable;but this is beyond that. He also said I just had the surgery & the cast just came off....so let's wait & see. The more I think about it & the more I look in the mirror, the more depressed/worried I get. I appreciate your input. Thanks.
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Doctor/Professional Answers (1)   


Facial plastic surgeon
Herndon, VA
United States
View My Professional Profile
December 4, 2008 4:45 AM

Your shock is understandable. I cannot stress enough how important pre-op computer imaging is in Rhinoplasty. You cannot and should not leave it all in the hands of your surgeon's taste (more)
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