In a continuation of Dr. Lamperti's Case Series review we'll look at how revision rhinoplasty can be used to correct a persistent hump and asymmetry after prior surgery.
I recently discussed a revision rhinoplasty patient of mine where I corrected his hanging columella and alar retraction. Now I'd like to look at how I addressed several persistent abnormalities of his bridge that I needed to repair during our revision surgery.
Although the patient reported that during his original surgery he had a hump removed you can see in the profile photo above that he had a significant, persistent residual bridge bump. The dorsal hump spanned the middle third of the nose and was composed of both cartilage and bone.
On frontal view you can see how the patient's bridge was also quite asymmetric with narrowing of the left middle third of his nose. You can also appreciate how his dorsal hump is creating an irregular highlighy on the bridge in the same area.
To address these issue I performed an open revision rhinoplasty. Once I had access to the bridge I was able to shave down the excess cartilage and bone that was leading to the bump. To correct the narrowing on the left side of the bridge I placed a cartilage graft which was able to improve the symmetry.
Looking at the patient's 15 month postoperative photos (below) we can see how the profile is now much straighter and on frontal view a more symmetric brow tip aesthetic line is seen.
You can read more about this patient's surgery at our Revision Rhinoplasty Before and After Photo Gallery here.
Related Seattle Rhinoplasty Blog Posts:
Deciding how much dorsal hump to remove
