Are there less possible complications with tiplasty vs. full rhinoplasty?

If I just want to upturn the tip and all I need is a graft to add support to tip, is there less chance for complicatoins (crooked tip, uneven nostrils) vs. having to reshape tip and lessen the size through a full rhinoplasty?

I dont want to change the shape or size of tip only want to rotate the tip upwards because I have read some horror stories on this site! Also what are the pros and cons of cutting the depressor nasi septi muscle?

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17 answers to “Are there less possible...”

A: Tip plasty and full rhinoplasty

William Portuese, MD

The cutting of the nasi septi muscle is of no consequence other than to prevent the tip of the nose from drooping down when smiling. We cut that muscle frequently when needed. It is important if you are only having the tip plasty performed that it is going to balance with the remainder of the nose. Very few... more

A: rhinoplasty complications

Darrick E. Antell, MD

Complications can occur with all surgeries.  However, the procedures you asked about:  full rhinoplasty vs tip plasty, historically have very low complication rates. Depending on how severe your problem is, you might not even need tip cartilage grafts which you mentioned.  Frequently, a minor... more

A: Complication risks may be lower with tiplasty

Paul S. Nassif, MD

Just adding a columellar strut or plumping grafts adds less complications than a full rhinoplasty. The less you do, the less risk of complications. I rarely cut the depressor nasi septi muscle unless the patient and I discuss the risks first since it can lower the upper lip and show less teeth especially when... more

A: Complication rates are low...

Kenneth R. Francis, MD

For both surgeries.  However, in general, the more invasive and prolonged a surgery, the greater risks.  So in that sense, a tip plasty would carry less risk than a full rhinoplasty.  The specific risks that you cite, crooked tip and uneven nostrils, are probably the same for both procedures... more

A: Tip only or full rhinoplasty, complications are few

Peter E. Johnson, MD

Certainly when considering rhinoplasty or nasal shaping, changes are only made where necessary, and for some a tip only rhinoplasty will produce very nice results. For a majority of patients however a full rhinoplasty will be needed to keep the whole result in balance. Any change in the tip as far as... more

A: Tip plasty versus full rhinoplasty

Otto Joseph Placik, MD

The effect of cutting the depressor nasi septi muscle can be simulated with injection of Botox. You may want to try this as it is the easiest way to "check it out". If you like the result, you could consider surgical options for a longer lasting result. Yes a tip graft... more

A: Tipplasty is Safer than Full Rhinoplasty

Tanveer Janjua, MD

In general in the nose the less you have to do the better it is. The tip plasty especially if it only involved turning up the tip is easy to do and has less chance of complications. Cutting the depressor septi muscle is safe and effective. Take your profile photos with smiling and without smiling and you will... more

A: Different types of Rhinoplasty

Richard W. Westreich, MD

Tip versus full rhinoplasty are essentially related but distinct operations. While the two areas can relate to eachother both technically and aesthetically, the complications profiles are not the same. While both are very safe, tip changes can be more challenging to get right. Rotating the tip can be... more

A: See a rhinoplasty specialist.

Toby G. Mayer, MD

 Both of these surgeries should have little risk of complications. See an experienced rhinoplasty surgeon and let him give you the pros and cons after he examines your nose.

A: What is the difference between a tip vs full rhinoplasty

Maurice M. Khosh, MD

Commonly, tip rhinoplasty is one step in a full rhinoplasty, when other aspects of the nose are concomitantly treated (a hump removed or dorsum narrowed). The specific complications that concerns you, i.e. asymmetric nostrils or crooked tip, are related to work that is performed on the tip. Therefore, the... more

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