Daytona Beach Rhinoplasty doctors

	Carl W. "Rick" Lentz III, MD Daytona Beach Plastic Surgeon 1040 W International Speedway Blvd, Daytona Beach		21 answers
	Rian Maercks, MD Miami Plastic Surgeon 757 Arthur Godfrey Road, Miami Beach		14 answers
	Ross A. Clevens, MD Melbourne Facial Plastic Surgeon 200 South Harbor City Blvd First Floor, Melbourne		8 answers
	Timothy Fee, MD Jacksonville Plastic Surgeon 4147 Southpoint Dr E, Jacksonville
	Vijay J. Moradia, MD Daytona Beach Plastic Surgeon 4606 Clyde Morris Blvd Suite 1L, Port Orange

Recent Answers

Exact Rhinoplasty Procedure for Bulbous Tip? Is there an exact Rhinoplasty procedure for round nose tip or a bulbous one? Thanks a lot again.

A: Bulbous tip

The technique necessary varies from patient to patient and can include:

-removal of intraalar fat/fibrous tissue

-interalar mattress sutures

-reection of cephalic aspect of lower lateral cartilages

-columellar strut grafting, tip definition grafting and thining of the subdermal tissue (closed rhinoplasty is very important for the safety of this maneuver

All the best,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon

Correcting Nose to Lip Angle and Bulbous Tip How to correct acute nose to lip angle and bulbous tip at same time? My nose and lip angle is approximately 70 degrees and I have a bulbous tip with a large base. I am an Indian so I have thick skin, I guess.

What would be the best possible way of correcting all the 3 faults together, while keeping in mind the skin thickness? Can nose to lip angle change only by trimming the septum or is there any other way to do so?

A: Correcting nasolabial angle and bulbous tip

It is difficult to say without pictures, but with my experience in ethnic noses with thick skin a different approach is indicated. The bulbous tip is corrected by performing a cephalic trim of your lower lateral cartilage and suture techniques, but a satisfactory result in an ethnic nose also usually requires a hearty columellar strut to support the tip, change the nasolabial angle and provide appropriate columellar show. I hope this helps!

All the best!

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon

Will Tip Rhinoplasty Cause Imbalance with Dorsal Hump? Hi all, I have a very tiny dorsal hump in the upper part of my nose, and a bulbous droopy tip, which is especially visible when I smile. My preference would be to just take care of the tip and leave my tiny hump as is.

Is there any reason why I should be also correcting the hump? Would correcting only the tip create any imbalance? I am attaching a photo to give you a better idea. Thank you for your kind responses.

A: Tip rhinoplasty and dorsal hump

While you could add tip support (to avoid retraction with smiling) with a minimal change to tip aesthetics by using a columellar strut alone, Aesthetic results would be nicer with a subtle change to tip dynamics and dorsal reduction. If you do not want to address the dorsum, a sinmple columellar strut and elevation of the lower lateral cartilages should suit you well.

All the best,

Rian A. Maercks M.D.

Rian Maercks, MD

Miami Plastic Surgeon