Can I have a closed revision to correct a high bumpy bridge on my nose without negative consequences?

~~

3 1/2 years after revision rhinoplasty, I still have lack of blood flow on tip of my nose due to grafting, it's actually cold to the touch. Caffeine or alcohol, especially makes it throb. Grafting done to rebuild a week bridge also left me with a bump on the bridge of my nose. Can I have a closed revision to correct the high bumpy bridge without negative consequences to the blood flow issue on my tip? I don't want to end up with necrosis.

Revision Rhinoplasty is one of the most complicated procedures that is performed in plastic surgery. This should be done in the hands of a Board Certified Plastic Surgeon or Otolaryngologist, who is an expert in secondary Rhinoplasty. I generally recommend that Revision Rhinoplasty are optimally done with an open approach to fully visualize the nasal deformity better.

Rod J. Rohrich MD, FACS
Rod J. Rohrich MD, FACS
9101 N Central ExpyDallasTX75231US

Rod J. Rohrich MD, FACS

9101 N. Central Expressway, Suite 600,
Dallas, TX, 75231, US

View

You have the right idea. I believe that the closed approach is safer than the open approach for a situation like yours, and I teach this principle constantly. The surgeon can make corrections with less insult to the circulation and more precision. If done carefully by an experienced surgeon, skin loss or necrosis should almost never occur. No surgery is ever without risks, but your best insurance is to find a surgeon whom you trust and who specializes in this type of corrective surgery.

Mark B. Constantian MD, FACS
Mark B. Constantian MD, FACS
19 Tyler StNashuaNH03060US

Mark B. Constantian MD, FACS

19 Tyler Street, #302, Nashua, NH, 03060,
US