What next for large, crooked nose tip after tip plasty & full revision after? (Photos)

July 31, 2022
Asked By:Giving978084 in Colorado

My tip still too large, crooked and asymmetrical. Seeking recommendations. After a full revision and months of healing, rib grafting to project nose and attempt to straighten nose, here is my results. Profile looks good, but tip remains too big and asymmetric. Next step is to use composite skin graft from ear to add alar curvature. But adding alar will not fix my big tip. Would adding alar span/interdome sutures align my tip with bridge width? Ir would dome division be helpful? Can more b done? I just want a nose that wont distract from other features. Ideas?

6 photos

Answers (2)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
August 5, 2022

Answer: Serious necrosis finding in the columella

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Gurkan Kayabasoglu, MDFacial Plastic Surgeon
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VOTED MOST HELPFUL
August 5, 2022

Answer: Serious necrosis finding in the columella

1 person found this helpful
Gurkan Kayabasoglu, MDFacial Plastic Surgeon
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April 28, 2023

Answer: Revision Rhinoplasty

Nima Shemirani, MDBoard Certified Facial Plastic Surgeon
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MOST RECENT
April 28, 2023

Answer: Revision Rhinoplasty

Nima Shemirani, MDBoard Certified Facial Plastic Surgeon
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