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Rhinoplasty Complications

Dr. Paul Nassif specializes in all nose surgery procedures

Rhinoplasty Complications

Postby NH577 » Sun Dec 27, 2009 5:41 pm

Hi Dr Nassif

I am due to visit a few surgeons in the States in the next few months however i am struggling with research.

Please can you advise me on a few questions i have before i book my trip:

1. I have had my nasal bones pushed together and now find it hard to breathe-can this be corrected and with what technique?

2.I have very bumpy nasal bones and one side is very flat and one concave-can the bridge be built up to create a strong look? what material would be used to do this?

3. Once an ala base curve has gone can it be fixed by revising the ala scar? or can it be filled?

4. I also wanted to ask whom you refer patients too if you are unable to revise a nose and what your revision rate is? (asked with the greatest respect)

I would really appreciate some insight into these questions I have - and i will of course send my details to your office so you can then look at my pictures.

Many thanks for taking the time to answer my questions.
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Joined: Thu May 07, 2009 12:33 pm

Re: Rhinoplasty Complications

Postby DrNassif » Mon Jan 25, 2010 5:37 pm

Thank you very much for the inquiry. I have provided some brief answers to your questions below.

1. It is possible on occasion to try and refracture your nasal bones and possible use spreader grafts to widen them. If it is not possible to do that, we add diced cartilage around the lateral nasal wall to thicken. I would need to see photos to give you the best advice.

2. I use the perichondrium from rib, put it under the skin and then inject diced cartilage between the bone and perichondrium and build it up slowly. It works incredible.

3. Sometimes it is difficult to revise. I would need to see photos.

4. I usually don’t refer patients out unless they want a second opinion. If necessary, I would refer to Dr. Jay Calvert, Dr. Rollin Daniels or Dr. Dean Toriumi. My revision rate is approximately 4%.

If you wish, you may send any photos to Lisa, my patient care coordinator at Lisa@spaldingplasticsurgery.com. Thank you and best of luck.

Dr. Nassif
Paul S. Nassif, MD, FACS
Facial Plastic & Reconstructive Surgery
Spalding Drive Cosmetic Surgery & Dermatology
120 S. Spalding Dr., Ste 315
Beverly Hills, CA 90212
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Posts: 544
Joined: Wed Aug 01, 2007 11:58 am
Location: Beverly Hills, California

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