I was just browsing the website and had a couple of questions. I went to a consultation for revision rhinoplasty out here and the doctor said two things. First, that he wouldn’t completely straighten my septum because it could make my nose more crooked and the other was because of my thin skin, he would use Alloderm. My questions are 1. Is Fascia better than Alloderm? Or are they same? 2. Having previous rhinoplasties, is there a danger in straighteneing the septum, which can affect the cosmetic portion or is he just being conservative?
I cannot fully comment on your nose without seeing you and examining you but I can tell you a few things.
First, the septum and external nose have an intimate association. Often you cannot fully straighten the outside of the nose without straightening a deviated septum. There are not many situations where straightening a septum will create a “”crooked”” nose but again since I have not seen you I can only raise an eyebrow and doubt your surgeon’s comment but I cannot fully contradict it before examining you. I do recommend you see another Facial Plastic Surgeon for a second opinion on your septum and nose.
Use of Alloderm is fine in patients with very thin skin. Fasia is also a nice and less expensive alternative but they are both fine.