Rhinoplasty: Q&A

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Nose Tip Grafting and Columella Strut 5 Months Post Rhino?

I had open rhynoplasty 5 months ago dr said i needed graft tip and columella strut im so unhappy now it makes my nose look upturn exposing my nostrils making them look triangle will my tip come down more or can i just remove the columella strut so my tip can come a little down

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6 Doctor Answers | Asked by bunny1

Doctor Answers (6)
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Unsatisfied With Rhinoplasty Results

Dear Bunny1, I am sorry that you are not happy with your Rhinoplasty results. My advise is that you wait till you achieve full recovery hence final results. You still have swelling and without photographs and physical examination it is hard to give you a solid opinion. You have to give it some time so a better assessment of your progress could be possible. Best of luck to you and thank you for your question. Dr. Sajjadian more

Unhappy with tip appearance after open rhinoplasty

I would be helpful to see your photos. It sounds that the rotation and the projection of your tip were increased as a result of the surgery. Your tip may look appropriate and maybe you are just not used to the new look; another possibility is that your tip rotation and projection are really excessive. You may see some more changes up to a year after the surgery, but I don't think those will be significant. My advise is to wait another 6 months or so, see what happens, and... more

Nostril Show 5 Months after Rhinoplasty

Wait another 6 months to see changes that will occur as healing progresses. If you and your surgeon are not satisfied the position and rotation of your tip can be adjusted so your nostrils are less exposed.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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Tippy Tip

After 12 months, you should be fairly content with your nasal tip and nostril appearance. However, in the words of the late Dr. Richard Webster (Father of Cosmetic Surgery): "The nasal tip may be liken unto a TRIPOD, by analogy." The three supporting legs of a tripod can be surgically adjusted to position the tip (in three dimensional space) accordingly. In turn, this positioning will affect nostril show.

Nose tip grafting

Adequate nasal tip support is essential for long term success in rhinoplasty as over time tips may droop. Having said that from what you describe you may be too elevated for your taste. Keep in touch with your surgeon and see how it settles after a year. If it is still up sometimes a simple transfixion incision may settle it back without a full revision. Good luck!

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Over-Projected Tip

Hi, The tip may have been set to high. That can be as a result from several tip maneuvers, collumelar strut, shield graft, dome division, cephalic strip, over-reduction of the bridge etc. Consult with your surgeon to figure out why and how to correct it. Best, Dr.S. see video

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