Over a year ago, I had rhinoplasty to get rid of a hump on my nose. However, the tip of my nose was raised when this was not discussed to being altered, as I was very happy with where it was. I am now very unhappy with how my nose looks, it is straight. However, due to the height of my nose tip it doesn't look like me. I've talked to my surgeon many times and he's suggested using extended baton grafts but said it could cause swelling that will never go away, plus risk of infection. Please help.
Answer: Revision rhinoplasty de-rotating the tip I am sorry to hear of this experience. There are several ways to 'de-rotate' a nasal tip in revision surgery. Personally, I have performed this revision many times. It would be impossible for me to definitively answer this question for you specifically. There may be a miscommunication here, but batten grafts (?sp) may not be the answer. Several other options could exist. Perhaps you should seek a second opinion.
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CONTACT NOW Answer: Revision rhinoplasty de-rotating the tip I am sorry to hear of this experience. There are several ways to 'de-rotate' a nasal tip in revision surgery. Personally, I have performed this revision many times. It would be impossible for me to definitively answer this question for you specifically. There may be a miscommunication here, but batten grafts (?sp) may not be the answer. Several other options could exist. Perhaps you should seek a second opinion.
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CONTACT NOW Answer: Revision rhinoplasty to lower raised tip Since it has been a year from the prior rhinoplasty it is acceptable to undergo a revision rhinoplasty. There are many different techniques that can be performed to lower the tip. Bracing some of the upward tip rotation could be performed by weakening the support ligaments of the tip, which will effect a drop. Extended spreader grafts can be used and do not cause permanent edema. Sometimes an interposition graft between the upper lateral cartilage and the lower lateral cartilage will be done. Occasionally, composite grafts are used for alar layer and notching. Trimming of the columella, both membranous and cartilaginous components, is also done to shorten the nose in the vertical direction and push the tip down along the nasal spine.
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CONTACT NOW Answer: Revision rhinoplasty to lower raised tip Since it has been a year from the prior rhinoplasty it is acceptable to undergo a revision rhinoplasty. There are many different techniques that can be performed to lower the tip. Bracing some of the upward tip rotation could be performed by weakening the support ligaments of the tip, which will effect a drop. Extended spreader grafts can be used and do not cause permanent edema. Sometimes an interposition graft between the upper lateral cartilage and the lower lateral cartilage will be done. Occasionally, composite grafts are used for alar layer and notching. Trimming of the columella, both membranous and cartilaginous components, is also done to shorten the nose in the vertical direction and push the tip down along the nasal spine.
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March 5, 2015
Answer: How to lower nose tip Hello, There are risks associated with any surgery. It is difficult to determine exactly what your needs are without seeing additional photos and/or performing an examination. Thank you and best of luck. Dr. Nassif
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Answer: How to lower nose tip Hello, There are risks associated with any surgery. It is difficult to determine exactly what your needs are without seeing additional photos and/or performing an examination. Thank you and best of luck. Dr. Nassif
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January 24, 2010
Answer: Be careful what you ask for! I would urge you to be cautious about your request. As soon as you lower the tip, it will seem as if the hump has returned. Drooping of the nasal tip or loss of support is a common side effect of aging that causes older patients to appear as if they have a more prominent nasal hump.
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CONTACT NOW January 24, 2010
Answer: Be careful what you ask for! I would urge you to be cautious about your request. As soon as you lower the tip, it will seem as if the hump has returned. Drooping of the nasal tip or loss of support is a common side effect of aging that causes older patients to appear as if they have a more prominent nasal hump.
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October 9, 2014
Answer: Lowering an elevated nasal tip Lowering an over rotated nasal tip will involve several different surgical maneuvers. A thorough examination in combination with photographic analysis of your nose would be necessary to give you a good explanation of what would need to be done to fix your nose. Extended batten grafts are one of several procedures that have been used with good success, but, your problem may require addressing several other areas of your nose to give you an acceptable result.
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Answer: Lowering an elevated nasal tip Lowering an over rotated nasal tip will involve several different surgical maneuvers. A thorough examination in combination with photographic analysis of your nose would be necessary to give you a good explanation of what would need to be done to fix your nose. Extended batten grafts are one of several procedures that have been used with good success, but, your problem may require addressing several other areas of your nose to give you an acceptable result.
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