Frequently Asked Questions Specifically About Revision Rhinoplasty

more coming soon!

Q Its been five months since my surgery and now since I started to get back in shape and returned to my gym. I have notice that when I run and workout my nose drips. It is very runny, here I am walking away and every few mins, I have to use a tissue. Is this just part of the healing stage or need I bring this up to my doctor? Its really annoying! Has anyone experienced this at all?

A Many patients complain of "runny noses" after rhinoplasty/septoplasty surgery. Some over 2 years. Most of the excess mucous production ceases at 9 months but can continue well after that. For now I can only advise  to carry more Kleenex around as it may persist for several more months. 

Q My PS mentioned a shot of cortizone to help some of the scar tissue. Why is this and what will this do?

A Injections of Cortisone or Kenalog can help break up excess tissue. It is a common remedy to inject steroids such as these and also is used primarily to reduce swelling and inflamed tissue. Although care must be taken regarding excess use of these injections as it can break down the tissue too much.

Q I'm going to get my nose re-done soon and my doctor also recommended me getting a chin implant because he says my nose will still appear 'big' since my chin goes a little further in then it should...Do people get both these procedures at the same time? And do you recommend I should do this? 

A This is very common. A weak chin can and does make even an "ideal" sized nose look larger than it actually is. The chin augmentation is a relatively minor procedure when implants are used although it entails some risks all on its own. Such as lower lip numbness which can be remedied (usually) by removing the implant and trimming the implant so that it is not pressing up against the nerve as much.

Q I have thick nasal skin and a surgeon I spoke with said that I may not be able to see much detail with my rhinoplasty? Is this true? Should I see another surgeon?

A For many patients with thick skin, the skin is thinned out in the surgery as the tip is worked on.  This really adds a lot to help with definition. Excess skin length just shrinks away as the swelling decreases.  Also, many patients with thick skin actually do better with rhinoplasties because the flaps that are elevated are so firm that you can do a lot more with the cartilages and it is better hidden.  Very thin skin, shows every little imperfection.

Going on several consults and getting a second, third and even more opinions is a good idea in any case. "Shopping" for surgeons is a serious matter and you should be as comfortable as you can be with a surgeon, his skill, and his bedside manner.

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