Hi Dr Lam,
I had revision nasal surgery with cadaver rib grafts in 2009 (in CA), to repair an over-resected/fattened/V-deformity/over-rotated primary rhino outcome. I'm female with fair to olive, moderately thick/oily nasal skin. The short term revision result was GREAT! Unfortunately, the dorsal rib graft 90% reabsorbed within 6 months. My tip grafts appeared to remain, but it has now de-projected and rotated up again, 2.5 years down the track. The aspect I struggle with the most is I now have nostril show more than ever before and a bowed columella. I am tall and have very hairy nostrils - not great to have them on show so much! I just don't look like "me".
The bridge was patched up with ear & fascia under local numbing in 2010, but in a crooked way causing a lump on one side where it deviates and a large indented look on the opposing side. it has also left me with a lumpy looking bridge, despite fascia and thick skin. Breathing is very restricted on the deficient side.
As an ENT/Plastic surgeon, do you see many grafts reabsorb like this? What do you like to use in the bridge and tip for longevity?
I am hoping to find a revision specialist who can rebuild my bridge and tip so it looks more balanced & whole - also to improve my breathing. I'm told my skin is in good condition, which is one bit of good news (I am 29, healthy and a non-smoker).