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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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I just went in for a consultation for a revision rhinoplasty

September 30, 2010 by Dr. Schoenfeld

Question:
I just went in for a consultation for a revision rhinoplasty. My first surgeon did not build up the bridge like he was supposed to, so now I need to get it right. The surgeon who talked to me said that for this surgery, cartilage would be taken from my septum for the surgery. How can septum cartilage be used in a revision rhinoplasty? Isn’t there too little of it?

Answer
In a fresh unoperated nose, there is ample septal cartilage with which to perform rhinoplasty to augment the bridge. In revision rhinoplasty, if the septum has already been operated on you may be correct in wondering if there will be enough cartilage to perform the revision rhinoplasty for the issues you have outlined.

In revision cases I usually counsel my patients that cartilage from their ear may need to be used if the bridge needs to be augmented and for several other reasons. I am not a big fan of the use of synthetic implants in the nose although they are commonly used in rhinoplasty to augment the nasal bridge.

Posted by Dr. Philip Schoenfeld

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Reviews

  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations, and I…

    • 5 stars
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5454 Wisconsin Ave #1625, Chevy Chase, MD 20815

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