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Options with Regards to Tip Refinement? (photo)

Besides having a hump reduction. What would be the best option to refine the tip? Would it be cephalic disection and rotation? Or chartillage tip grafts?

Doctor Answers 4

Nasal tip refinement

  A conservative amount of cartilage can be removed through cephalic resection of the tip. No rotation is necessary. A spreader graft may also be needed on the concave upper lateral cartilage area to make the mid-vault portion of the nose more symmetrical. Please see the  link below  for examples of how we have addressed the tip in our rhinoplasty practice

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 70 reviews

1101 Madison St
Seattle, WA 98104

Rhinoplasty and tip

Tip grafts are often not necessary. Without a good exam in person and worm's eye view photos it is difficult to assess you properly.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Tip refinement

Your tip is bulbous and ptotic (droopy). The tip needs to be narrowed, defined, and rotated up. This can be done using a columellar strut graft and dome sutures with a lateral crural steal.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

6705 Red Road
Coral Gables, FL 33143

Tip Refinement

Tip definition should be improved whether this is achieved by changing the contour of you tip cartilages or adding a tip graft. An examination of your nose is necessary to make a specific recommendation. I would not increase tip rotation. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

416 N Bedford Dr
Beverly Hills, CA 90210

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