Revision Rhinoplasty Q&A
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Am I a Good Candidate for Revision Rhinoplasty?

asked 1 year ago by Nickolay
Latest answer by Sam Naficy, MD
Question viewed 265 times
Tags: droopy, candidate, tip

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.

4 answers to Am I a Good Candidate for Revision Rhinoplasty?

+2

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

Beverly Hills Facial Plastic Surgeon
+1

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

Seattle Facial Plastic Surgeon

seattleface.com

+1

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
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

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
Steven J. Pearlman, MD

New York Facial Plastic Surgeon

www.mdface.com

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