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Nose Revision for Round Asian Tip Elaboration, Please?

asked 1 year ago by annon0987 in Los Angeles, California
Latest answer by Sam Naficy, MD
Question viewed 354 times
Tags: nose tip, male, Asian

2 months ago, I had surgery to heighten my bridge and refine the tip but, it looks the same. I have some definition at my bridge, but only slightly suggested and my tip is still round. My nostrils are uneven because (I think) the tip of my nose is crooked! You can kind of tell at certain angles. I know I should wait a year, but how will the procedure be like. Do I have to undergo open surgery? Because I prefer closed. The picture on top is my normal nose and the bottom is my nose when I smile.

6 answers to Nose Revision for Round Asian Tip Elaboration, Please?

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2 months post-op

Two months post surgery is still very early for you to judge the results of your surgery - the tip will reduce in size more with time. The nostril asymmetry may be improved with a relatively minor closed revision under light Iv sedation
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Asian rhinoplasty revision

It is important to wait at least 6 months to truly evaluate your results, however having extensive experience with nasal surgery and asian noses I doubt (looking at your photos) if you are going to have the well demarcated tip definition you desire. In order to achieve this in the typical asian nose, you need to do aggressive cartilage grafting to the nasal tip and possible nasal dorsal implant work. The stantard westernized approach to rhinoplasty which usually involves... more
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Asian Nose Revision

You are correct in assuming you need to wait about one year for a revision. It is difficult to evaluate your nose 2 months after  your initial surgery. Whether a closed or open technique is used will depend on what was done previously and your needs at the time of revision. 
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Asian tip revision rhinoplasty (nose job)

Typically, to achieve a defined tip in an Asian nose, additional grafting of the tip is required. This is often taken from inside the nose or the ears. IF your nose is crooked, it may best be treated with an open approach to achieve maximal visualization of the structures. Any further bridge enhancement may require a larger graft such as the rib. However, silicone implants are more commonly utilized in Asia for this purpose.
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Revision Rhinoplasty for Round Tip on Asian Nose

One of the important aspects of your end results is how was the tip enhanced.  The use of a cartilage graft or a silicone implant with or without alteration of the lower lateral cartilages or alar cartilages will ultimately determine the changes in your appearance as the swelling subsides and the skin re drapes over the underlying framework.  It is common to use a silicone implant to enhance the tip in Korea.  Although it can give a quick result, there are some potential... more
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Round Asian Tip

Your outcome will depend on what exactly was done to refine the tip. If the tip was treated then you will need to wait until a year or so to see what the final result will look like.  At two months, there is still going to be a significant amount of swelling, especially with your thicker skin.  It is best to wait and see and then make a decision if further refinement is need.  At this stage it would not be recommended to go back in regardless of the approach taken. ... more

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