Rhinoplasty before & after photos
78%
875 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Rhinoplasty Cost $6,300 average cost

Options for Correcting Nasal Bossa Deformities?

I had Rhinoplasty 2 years ago and had the bossa on the tip of my nose corrected a year after that. Now, the bossa points have returned again. What are my options for having this corrected?

Asked 37 months ago by paksrb23 in chicago
Sort 4 expert answers by:
+1

See a revision rhinoplasty specialist

Patients who have thin skin and prominent cartilages of the tip can easily get bossae of the tip. Since you have already had an attempt to revise this unsuccessfully, I would find a revision rhinoplasty specialist with a great deal of experience. Injections of fillers can temporarily fix this, but we use the patient's own tissue as a graft with or without modifying the cartilage to permanently correct the problem.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

Bossa Correction

Bossa correction requires a complex reconstruction.  Often times bossa occur as the cartilage is weakened and then subsequently curls.  Seek a consultation with a revision rhinoplasty expert.  (Patient below had bossa on right nasal tip corrected)
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Options for correcting bossa deformities

The bossa can be corrected sometimes through a simple excision technique through a closed rhinoplasty underneath the nostrils of the tip. If they are recurrent and are problematic, occasionally a dome suturing technique can be performed, but it all depends on the shape and structure of the nose. You should wait at least a year from the previous rhinoplasty before embarking on a revision tip plasty.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Tip revision surgery

Bossae is the medical term referring to prominent paired bumps on the nasal tip. The nasal tip is made up of paired cartilages that are shaped like horseshoes. The apex of that horseshoe is referred to as the dome. The part that makes up the side wall of the nostril is called the lateral crus, and the part that makes up the columella (the area that separates the 2 nostrils) is called the medial crus. The paired tip cartilages are often attached to each other with fibrous connective tissue.... more
Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.