What is Involved in the Revision Rhinoplasty to Improve a Pinched Nose?

asked 5 months ago by anon
Latest answer by Thomas A Lamperti, MD
Question viewed 160 times
Tags: nose tip, exam, improvement, pinched, plan, preparation

7 answers to What is Involved in the Revision Rhinoplasty to Improve a Pinched Nose?

How to improve a pinched nose

Nasal tip pinching is often due to weakening of the nasal tip cartilage. This is usually best treated using cartilage grafting using grafts from the septum, ear or rib. The goal is to restabilize and reorient the tip cartilages to create more natural tip contours. Another benefit of this approach is that often nasal airflow is also improved.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Pinched appearance to nose after rhinoplasty usually the result of removal of too much cartilage.

Overresection of the lateral arms of the tip cartilages can result in the appearance of a pinched tip. Repair requires restoring the cartilage borrowed from the nasal septum or the ear. The tip might also need to be supported which would require some additional rigid material.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Revision Rhinoplasty for Pinched Tip

A pinched tip is secondary to the lack of volume, support, and structural integrity in the tip cartilages, whether this is inherited or secondary to previous surgery. Correction usually involves the placement of cartilage grafts to improve the contour and breathing function.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Revision rhinoplasty

In situations where the nasal tip is pinched the cartilage making up the nasal tip has been over resected in the first rhinoplasty. In this situation over time as scar tissue forms in the nasal tip the cartilage remnants become pinched. This can be associated with nasal obstruction due to nasal valve compromise. To correct this problem the surgeon must rebuild the tip cartilage with tip cartilage grafting. This cartilage can be obtained from the nasal septum or ear and... more

Philip Solomon, MD
Toronto Facial Plastic Surgeon

www.solomonfacialplastic.com

Fixing a pinched nasal tip

In the case of a pinched nasal tip revision rhinoplasty usually the cartilages left behind are weak. In the case of a virgin nose, one that is not operated on, the issue is usally the same. Cartilage grafting from either your septum or your ear is usually performed to provide strength and body to the new nasal tip. As a rule a little bit of the cartilage volume will resorb/dissolve so if you feel like your tip is a little plump or big the first 2 to 4 weeks, don't be... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

Pinched nose revision

A pinched nose is due to weak lower cartilages often over-resected during previous surgery. The goal is to strengthen the tip usually with cartilage grafts.

Steven Wallach, MD
Manhattan Plastic Surgeon