LAM FACIAL PLASTICS

Hi,

I have a nose that is generally broad and bulky with a bulbous nasal tip. I had rhinoplasty for the 2nd time in Mar this year hoping the procedure can address some of my concerns and improve this aspect of my appearance. I used autologous material from my rib. It has been 5 mths but I see very little in terms of improvement. I was wondering if the thickness of my skin has inherently limited the potential narrowing I can achieve with a rhinoplasty? My surgeon says I have thick skin and does this really place a significant restriction on the degree of narrowing I can eve rhope to achieve? Or is it too soon to pass judgement at the 5 month mark? How long do I have to wait before having this revised? I read that typically doctors recommend a year in between but what are the risks etc in going for a revision before one yr is up? In addition, does this have to do with choice of material? Post-operatively, I stumbled upon various sources that seem to imply that rib cartilage is rather bulky in nature and will not give the refined appearance I was looking for. Many thanks-C

hi,
several things:
1. noses can continue to refine after many months and even many years.
2. since it is a revision nose, swelling can last even longer, and 5 months is not atypical.
3. sometimes after revision noses, scar tissue builds up and may need a 5-FU injection to bring it down. i would ask your surgeon if this is reasonable or needed. he will probably use steroids but personally i don't like steroids for the risk of over atrophying the injected area.
4. asian noses oftentimes reach a point that they cannot be further refined. any further attempts to do so either lead to no changes or worse, worsening due to scar build up.
those are my initial thoughts.
best,
sml