There are hundreds of different rhinoplasty tip techniques that can be performed on the nose to make it look better. If diagnosed, scar removal is best performed with Kenalog injections into the tip. This melts scar tissue and removes the lymphatic edema that is trapped in the super tip area of the nose. ... more
Options for fixing the nose tip?
Around 5 and a half years ago, I had Rhinoplasty to address my nose tip that was too round. All went well, and after two years, I had a revision to correct the tip even more, for there had been a lot of scar tissue there. The surgeon injected at the end some Kenalog on the bridge and it looked perfect. However, he didn't wanted to inject Kenalog on the tip where there still are a few lumps. Another revision would be too dangerous.
We are now 1.5 years ahead since the last revision, and I wonder, is there anything can be done about this? Is Kenalog an option, or are there new techniques for scar tissue that might be an option? I have consulted two plastic surgeons, and they both gave me different answers.
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9 answers to “Options for fixing the nose tip?”A: Rhinoplasty
If you are unhappy with the appearance of your nose specifically of your tip because of some tip irregularities, then I suggest a tip revision would be in order. Fillers like Radiesse to camouflage it may not do the trick. Often it is scar tissue/cartilage that causes the irregularities. Kenalog... more
A: Revision Rhinoplasty
Jette, Injecting the nasal tip with Kenalog can cause thinning of the skin and remaining soft tissue, thus making those lumps more visible. I have found that in revision rhinoplasty cases with visible contour irregularity, certain fillers can be an excellent choice to smooth out these irregularities and... more
A: You can have nasal surgery without looking abnormal
The goal of surgery is to have a natural nose. In revision surgery you must make sure the surgeon has vast experience since the revision rhinoplasty is one of the most difficult surgeries to learn. Your doctor should tell you his approach to your problem and why he is choosing it. Make sure you see actual... more
A: Revision Rhinoplasty requires additional expertise
As a plastic surgeon, who performs many revisional rhinoplasties, I am often faced with people like yourself. The first thing to consider is the level of swelling and scar tissue. it is not unheard of to see swelling and hard scar tissue continue to resolve even three years after the surgery. Once the tissue... more
A: Nasal tip deformity or lumps are most likely due to cartilage
The most likely cause of nasal tip deformities from underlying subcutaneous causes is rarely collagenous scar tissue, rather, a malpositioning of the nasal cartilage. The scar tissue may deform the cartilage, but the prominence of these cartilage pieces often cause the majority of the deformity. In the... more
A: Kenelog in the tip is generally not good idea, especially if problem is tip bossae.
Jett, The answer to your question partially depends on what the lumps are. For most patients, when they come in and complain of "bumps" at the tip from some other previous surgery, they are talking about tip bossae. Tip bossae occur when surgeons aggressively cut or remove the tip... more
A: What are you goals?
My first question to you is what are you trying to accomplish since you said the first surgery went so well? Multiple attempts to over finesse the tip could cause you to lose your tip. Be very careful! If those lumps are scar, they may benefit from Kenalog, but not typically after a year and a half. Does your... more
A: Correction of Nasal Tip Deformity Five Years After Rhinoplasty
Hi Jette, Your question is most difficult to answer without seeing your nose. The most common "lumps" in the tip are bossa caused by the lower lateral nasal cartilage buckling. It is correctable with surgery, but is an advanced technique that should be performed by an experienced and... more
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4 posts
16 Jan 2009
I would like to thank all of you for your great answers! In my opinion, the first surgery and revision went well because I was aware that he result was going be a subtle improvement. I also understand that any revision has certain risks. For me to see any improvement meant satisfaction for me. This site however has given me the great opportunity to ask about the possibilities there are these days. Unfortunately, the plastic surgeons I have met may be good at what they do, but do do not 'waste' their time in explaining why thing can or cannot be done. So for me to get quality information on this matter makes me very happy. I am thinking of visiting America to get an opinion and revision if that is necessary. My goal is not to look like Michael Jackson. But I do want to know what my possibilities are. Again, thank you very much for your help Sincerely, Jett