Revision Rhinoplasty: Q&A

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Can Someone Enlighten Me on the Risky Aspects of Correcting a Tip in Revision Rhinoplasty?

I will prob undergo revision o add some fascia under my skin and add some volume and soften the tip. I also have a small notching at my alar sidewalls that would look more natural if this area was somehow smoother. I have been told that this is usually treated with ear carti. I am extremely worried about this.What is the best way to just smoothen only the small part of notching and avoid to get my tip too big? my nostrils are already a bit flared..i want a softer appearance without changing..

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4 Doctor Answers | Asked by andigone in greece

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Cartilage and fascia grafts in revision tip rhinoplasty.

Depending on the specific nature of the undesirable nasal tip aesthetics, the status of the underlying cartilage framework and the quality of the overlying skin envelope, cartilage and fascia grafts are often key maneuvers in achieving the desired changes without visibly adding to the size of the tip. Alar notching is generally best treated with carefully contoured and accurately positioned cartilage grafts. If the notching occurs along the nostril margin then an alar margin... more

Risks of Nasal Tip Revision

Adding fascia to smooth the nasal tip and small cartilage grafts to correct notching at alar margin will not add significant bulk to your tip when this is done by an experienced revision rhinoplasty surgeon.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Risk of ear cartilage graft to ala

Cartilage grafts at the alar sidewalls shouldn't necessarily cause permanent fullness in the area. The cartilage used is quite thin so once the swelling subsides the result is typically quite subtle. Ear cartilage is certainly possible, but so is septal cartilage if you have enough available to harvest.

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