Q. I have been very paranoid about my nose as there are number of problems, firstly i had a septoplasty where one side of my nose the whole cartligde has been taken out and my nose looks bent also i have a hump and a deviated septum. i have been to several surgeons all whom have given diffrent opinions.they have told me that it is a complicated operation. i have been told by one surgeon that i need closed surgery, however the other surgeon says i need open surgery. what type of surgery would be best for me? help,
A. Thank you for your enquiry. First, I think you need to appreciate that different surgeons achieve their results by different means. This is because, as with many other things in life, there is more than one option, and people tend to find their preferred approach. As a rule, in a situation like yours I would prefer to use the open approach, because of the flexibility in reshaping the nasal septum. The amount of nasal septum that is still present will determine whether there is sufficient material to restore support and improve the shape. If there is relatively little septal cartilage, and the cartridge is softened by previous surgery, I would favour using rib cartilage graft for additional support and contouring.
Q. I have been very paranoid about my nose as there are number of problems, firstly i had a septoplasty where one side of my nose the whole cartligde has been taken out and my nose looks bent also i have a hump and a deviated septum. i have been to several surgeons all whom have given diffrent opinions.they have told me that it is a complicated operation. i have been told by one surgeon that i need closed surgery, however the other surgeon says i need open surgery. what type of surgery would be best for me? help,
A. Thank you for your enquiry. First, I think you need to appreciate that different surgeons achieve their results by different means. This is because, as with many other things in life, there is more than one option, and people tend to find their preferred approach. As a rule, in a situation like yours I would prefer to use the open approach, because of the flexibility in reshaping the nasal septum. The amount of nasal septum that is still present will determine whether there is sufficient material to restore support and improve the shape. If there is relatively little septal cartilage, and the cartridge is softened by previous surgery, I would favour using rib cartilage graft for additional support and contouring.