Nose Derotation Successful?

asked 1 year ago by Vancouver8615 in Vancouver, BC
Latest answer by William Portuese, MD
Question viewed 535 times
Tags: nose, nose tip, upturned

ive read on here how difficult it can be to derotate a nose. the pictures i have seen of the procedure show minimal results also. i am considering getting this done, but would like some reassurance that this can be done with a good outcome. also if you have any pictures of a successful derotation please show them. thanks!

8 answers to Nose Derotation Successful?

Derotation of the nose

Derotation of the nose is indeed a very difficult problem to fix. There are multiple different techniques that can derotate the nose which can include different cartilage grafts between the upper and lower lateral cartilages, extended spreader grafts, full transfixion incision resecting the inferior portion of the nasal spine, and cartilage grafting across the bridge. All of these maneuvers work to derotate the nose, but it really depends on what is causing the over rotation of the nose... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

De-rotation of Nasal Tip

If you have this problem and it is bothering you there is only one way of changing the appearance and that is through a revision rhinoplasty. So, as you know, you need to find a surgeon whose skill and photos you trust. Results, even in good hands can be hard to achieve in severely scarred or re-operated noses. As for photos, you may find that even experienced surgeons do not have many photos of the type you are looking for. Sometimes the photos can 'minimize' the actual result.... more

Jon F. Harrell, DO
Miami Plastic Surgeon

www.westonsurgery.com

Correcting the Overly Rotated ("Pig Nose") Nose Tip

Regarding: "Nose Derotation Successful? ive read on here how difficult it can be to derotate a nose. the pictures i have seen of the procedure show minimal results also. i am considering getting this done, but would like some reassurance that this can be done with a good outcome. also if you have any pictures of a successful derotation please show them. thanks" Derotating the nasal tip, or more descriptively put, the changing of a swine-like, full nostril demonstrating... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Correction of Short Nasal Deformity

What you are describing is referred to as short nose or pig nose. The most common technique for correction is to elongate the nose, by using extension grafts. These are usually taken from the septum, if available. If not, ear or rib cartilage can be used. I have also used Medpor, which is synthetic porous material for these situations where patient's cartilage was not available.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Lengthening the nasal profile

There are quite a few techniques that reliably lengthen or derotate the nose. All require additional cartilage to secure the new position, and most often can be taken with primary rhinoplasty from the septum. Septal extension grafts, extended spreader grafts, complex columellar struts, tip grafts. All are recognized and accepted techniques. Your surgeon can describe his or her preference(s), and give examples of their relative power. There is a limitation on... more

Kevin Robertson, MD
Madison Facial Plastic Surgeon

Derotation of the nose

Nasal derotation often happens in primary rhinoplasty( accidentally), however, for patients that need it because they desire a revision, it can be difficult if they have had several rhinoplasties and very scarred in tissue.

Steven Wallach, MD
Manhattan Plastic Surgeon

Nasal tip derotation.

If you go on our website and those of other surgeons who do a high volume of nasal revisions you can see the surgeon's results. Some noses are so scarred after 5-6 rhinoplasties, I can't get as much derotation as I would like.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Derotation of the tip

Hi, Yes the tip can be derotated successfully. It may require cartilage grafting and/or tip reconstruction. Make sure that's the procedure that you need Best, Dr.S.