Revision Rhinoplasty: Q&A

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Am I a Good Candidate for Revision Rhinoplasty?

I had rhino/septo-plasty over 1.5 years ago, and am unhappy with the results: (1) Pointy/Pinched tip of the nose that is droopy, especially when smiling--near hook appearance. The pic shown is right profile WITHOUT smiling. The tip droops much further down and looks awful when I smile. (2) Hanging and scarred columella. Prominent scar line. Skin is bulgy and hangs lower after scar line. I can email more pictures directly. Any opinions on corrective measures very much appreciated.

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droopy candidate tip

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4 Doctor Answers | Asked by Nickolay

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Candidate for Revision Rhinoplasty

You are a candidate for rhinoplasty revision. It is difficult to make specific recommendations because animation makes your nose look worse. Ideally, you need to be examined by an experienced surgeon - another alternative is to submit additional pictures.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision for droopy tip

There are options, through cartilage grafting and establishing tip support, to keep your nose from drooping as much and to correct a pointy and pinched tip

Sam Naficy, MD

84 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Revision rhinoplasty should be carefully considered

Revision rhinoplasty is not something to undergo lightly. The revision rhinoplasty procedure involves removal of any residual dorsal hump that is present which can be composed of both bone and cartilage. The reason the tip droops upon animation is due to a ligament which connects the tip of the nose to the orbicularis oris muscle. The smiling muscle when contracted will pull the tip down. To prevent this from occurring the ligament is divided at the basal spine of the nose and this... more

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Revision rhinoplasty can help downturned noses

As the sub-specialty of revision Rhinoplasty matures, along with the specialists in revision surgery, we are getting better at recognizing the reasons why people need revision surgery. When the tip of the nose still points down after rhinoplasty and even worse with smiling it is often due to the tip cartilages having been at a higher angle than average before the first surgery. This is called cephalic oriented lateral crura. What that means is that if the upper part of the tip... more

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