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Is It Possible to Reduce Nose Bridge Height and Bring Tip Back Up After Rhinoplasty?

asked 9 months ago by MelindaWA in Seattle, WA
Latest answer by William Portuese, MD
Question viewed 414 times
Tags: bridge, nose tip rotation

I had a rhinoplasty last year. I had a ski slope nose. My surgeon used cartilage grafts from my ear to build my bridge up and he also brought my tip down. I find that my old nose fit my face better (I have very soft features) and I don't like how my new nose looks from the front or sides. Is it possible to remove the cartilage grafts and bring my nose tip back up? If so, how do I find the best surgeon for my revision case?

15 answers to Is It Possible to Reduce Nose Bridge Height and Bring Tip Back Up After Rhinoplasty?

+1

RETURN TO A REFINED VERSION OF OLD NOSE SHAPE

There is always hope. The cartilage grafts can be reshaped or removed completey and replaced with softer diced cartilage wrapped in fascia or other sources. There are many options. You may want to do a thorough search and it is always helpful especially in revsion cases to find a surgeon who is an expert in nasal shaping and reshaping like your situation. In general your future surgeon would have speaking engagements at multiple courses and conferences, written articles and... more
Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

www.Ghavamiplasticsurgery.com

+1

Reducing Nasal Bridge and Rotating Tip

I'm sorry you're not satisfied with the appearance of your nose after rhinoplasty surgery. There are many experienced revision specialists on the West Coast. Go to the websites of surgeons your hear about and consult with those whose results you like. Many patients E-mail picures of their nose and then discuss alternatives before traveling a great distance to meet us.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Revision rhinoplasty for nasal bridge and tip

Is it possible to reduce the nose bridge height and bring the tip back up after rhinoplasty? It is unfortunate that you have to undergo rhinoplasty for the second time. The old cartilage grafts can be removed to bring the nose back to its original position. The tip can also be lifted up but that will depend upon what techniques were performed at the time of the rhinoplasty. It is important to find a surgeon who has performed thousands of rhinoplasty and revision... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Unhappy with your rhinoplasty? A revison rhinoplasty specialist can help determine the best treatment for you

Unfortunately the revision rate in Rhinoplasty ranges from 5% to 15% in the medial literature. The people publishing these articles are doing the most rhinplasties, so imagine the rate for doctors who only do this procedure occasionally. Grafts can be remove and nasal tips both raised and lowered to achieve a more attractive nose.Want your old nose back? You can't go backward, only forward and restore a more attractive noses. When patients ask me to restore their old noses,... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Revision rhinoplasty and grafts

Removing onlay grafts and shield grafts (probably that's what was used to derogate your tip) are some of the easier things to do in revision cases. Lifting a tip up is also not particularly difficult. Revision cases in which reversing aggressive tissue removal tend to be the most difficult kinds; especially if a deviation still persists. If you find an experienced surgeon I'm sure you will obtain the change you are seeking. All the best.
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

Cartilage grafts can be removed in revision nasal surgery

It is certainly possible to remove cartilage grafts placed in the nose and lift the tip by having revision rhinoplasty surgery. I would suggest you find a surgeon who offers computer imaging so you can see the possible changes that can be made by surgery. Also bring old photographs with you and describe what you liked and didn't like about your first nose. I would recommend getting more than one opinion and see which surgeon best understands your surgical goals.. more
Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

+1

Revision rhinoplasty

Hi Melinda, Well, I'm sorry you went through a rhinoplasty only to be disappointed with the results. It should be fairly easy to remove the grafts. Secondary tip work is often done, but the details of what you would need are impossible to know without pictures. Have you spoken with the plastic surgeon who did the first operation? It would seem that this person is fairly well-versed in doing rhinoplasty, but ask if he or she does many secondary or "re-do" types... more
Paul W. Loewenstein, MD

Milwaukee Plastic Surgeon
+1

Old nose back

You can have the grafts removed or thinned and the tip elevated. It may look similar but it will never exactly be your old nose due to surgery and scar tissue. You need to think carefully about this. I am presuming that building up your nose with ear cartilage was a plan that you agreed to and were on board with for your first surgery. The desired result was achieved but you have changed your mind. This is not something that you can keep redoing without consequence. Once you have your old... more
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Is it possible to bring my tip after my previous Rhinoplasty?

Yes, it's possible to remove the conchal ear cartilage graft from your nasal bridge and rotate up the nasasl tip, although pictures of the front and profile would help in the evaluation. I have performed Rhinoplasty, revision Rhinoplasty and all manner of plastic and cosmetic surgery procedures for over 20 years and IMHO, the best way to select your plastic and cosmetic surgeon, Rhinoplasty surgeon included, is by their aesthetic judgement. You must understand beauty... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Revision rhinoplasty for nasal tip and bridge of nose

Hello, Revision rhinoplasty is certainly more challenging than a primary operation. It should be performed by someone with expertise in Rhinoplasty. In your area, I would recommend Dr. James Ridgway in Seattle. Best wishes, -Dr. Asaria
Jamil Asaria, MD

Toronto Facial Plastic Surgeon
+1

Revision rhinoplasty for the disliked nose.

This revision requires a surgeon who has a great deal of experience to prevent an even worse nose after the revision. Talk to actual patients that the surgeon has done as well as photos.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Revising rhinoplasty, getting the old nose back

It is troubling to get a nice result, yet from the patient perspective, find that the 'old' nose was the better look. Revision can remove the grafts and work backward to your old nose. With scar there are uncertainties as to just how close you can come, though computer imaging should be must to help to see where you are going before you get there. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

"undoing" a rhinoplasty you don't like

First, I would discuss your concerns with your surgeon. Hopefully you can come to an agreement about how your nose was changed, what your like and what you don't. Think carefully about secondary surgery for only a minor change, as reentering a surgical field can sometimes cause some scarring and unpredictable healing. Fortunately, removing a graft and tip shape changes are common parts of secondary rhinoplasty and can usually be accomplished. The tip rotational... more
Michael Suzman, MD

New York Plastic Surgeon

www.westmedgroup.com

+1

Revision rhinoplasty

Revision rhinoplasty is a complex procedure.I would recommend you find someone who is experienced and rather than trying to reverse what was done listen to what the surgeon feels are the best options.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Reversing nasal bridge augmentation and tip counter-rotation

It should be possible to remove the cartilage graft on your bridge to bring in back down. Returning your tip to a more rotated position should be possible. How straight forward this will be depends on how your prior surgeon brought it down in the first place. Having your prior operative report available is helpful in this regard. To find the right revision rhinoplasty surgeon for you I would recommend reviewing a potential surgeon's website and research the before and after... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

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