I am an Asian woman and I had a nose job to increase the bridge of my nose using an implant. It has only been a few weeks since my surgery. My nose is very crooked and I think it is more than just swelling. Why might this occur and what can be done to fix it?
Thank you very much for your question. Unfortunately, it is difficult for me to tell you exactly what the problem might be. Sometimes the problem may be from swelling which can make the nose appear crooked.
If the procedure was performed through a closed rhinoplasty and a filling implant was placed, there is also the possibility that the implant could have shifted, making the nose appear asymmetric.
There is even a small possibility of an infection. If there is no redness of the skin or tenderness, however, I doubt this is the problem and it is most likely misalignment of the implant.
Regarding what to do with the implant, if I could confirm that the implant is deviated, my thought would be to do something immediately.
I would make a small incision, remove the implant and use your own tissue to augment the area where the implant was placed. The tissue that I would use to build up the dorsum would be your own cartilage and soft tissue. Cartilage could come from the septum, ear or rib. The soft tissue that would be needed for this procedure would come from the tissue on top of the rib or deep temporalis fascia. If this treatment is not performed now, you would have to wait approximately four months post operatively.
Please feel free to send any close-up photographs to Lisa my Patient Care Coordinator at firstname.lastname@example.org and I would be more than happy to look at them for you.
Hope this helps.