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Is it possible to have a hump replaced after rhinoplasty to give the nose a convex profile again?
I had septorhinoplasty to correct a deviated septum and hump removal. Im not happy with the straight profile as i feel i have lost my ethnic identity (i am of south east origin. Was wondering if it is possibe to have my bridge built back up to give a slight convex profile?
I have done this several times for people like yourself who had a rhinoplasty, but want to restore some of the ethnic appearance lost with the surgery. I use fillers to give back a small convexity to the nose. I can use either Radiesse, Perlane or Artefill. Radiesse lasts longer (about a year), but is not reversible. Perlane lasts a bit less (about 8 to 9 months) and is reversible at any time if necessary. Artefill is a permanent filler that should only be used after a trial with one of the temporary fillers, to make sure that you like the effect. The procedure takes all of 20 minutes. It is an office based filler injection similar to the kind used for nasolabial folds. The biggest risk is a bit of bruising on the nasal bridge. The results, when done carefully, are natural and smooth.
For me I could never advise YES or No without at least a few photos of how you appeared before and after the operation! There are methods to "build up" the bridge of the nose, but only in person evaluation can help you.
Nasal dorsal augmentation (enlarging the top of the nose) can be done, either after previous rhinoplasty or as a primary procedure. One's own cartilage or bone maybe used, which is the best choice, or alloplastic(artificial) materials such as silastic. Consult with ea experienced revison rhinoplastic PS.
drepstein Replacing a Hump after Rhinoplasty with GoreTexFebruary 6, 2012 11:15 AM
Yes, while challenging, building up a profile is something that, as a reparative rhinoplasty surgeon, I have performed a number of times. Typically I prefer to utilize an implant called GoreTex(R), which works wonderfully for just this indication. Because of how difficult these cases can be, I strongly encourage you to seek out a surgeon with
extensive experience performing this.
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