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Is Possible to Reverse a Cephalic Trim?

about a year ago i had my nose straightened, dorsal bump removed and a cephalic trim to lift a droopy tip. my surgeon did a great job but i cant seem to adapt to the change and i basically want it reversed, i spoke to my surgeon and was told it is possible to droop the tip back by adding cartilage to push it back down and guessing the bridge will be augmented. is it possible to reverse the changes made? if so what cartilage graft would be best to use? and what would be the success rate? thanks

Doctor Answers (8)

Revisions of a rhinoplasty are difficult.

+1

Revisional surgery might not be in your best interest. Cartilage grafting is tricky in the likelihood of restoring your nose to its preoperative state is unlikely.


Atlanta Plastic Surgeon
4.5 out of 5 stars 10 reviews

Reversing Rhinoplasty Results

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A revision rhinoplasty can be done, but it is very unlikely that the nose can be made exactly like it was before your original surgery. Cartilage can be harvested from the septum, was, or ribs to augment your nose.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Revision rhinoplasty

+1

You cannot go back in time and undo a surgery. You say your surgeon did a great job but you cannot "adapt" and want your hump and droopy tip back that is a red flag for trouble. How will you be able to judge the results of the revision? The chances of you being unhappy again are high. I feel sorry for your surgeon.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Aaron Stone, MD
Los Angeles Plastic Surgeon

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Is Possible to Reverse a Cephalic Trim?

+1

      Adding cartilage to the tip will restore fullness to the tip, but this maneuver generally will not depress the tip.  However, other maneuvers can be employed to reposition the tip or lengthen the nose as the anatomy dictates.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
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Secondary rhinoplasty question

+1

A revision could certainly be performed if your are not happy with your result following a rhinoplasty.  A cartilage graft could be performed to fill in the area that is depressed by resection of the cephalic portion of the lower lateral cartilage.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Reversing a cephalic trim

+1

Sorry that you are unhappy with your results.  While certain maneuvers can be used to restore some of you earlier appearance it usually can not be completely reversed.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Is Possible to Reverse a Rhinoplasty?

+1

 You would not be able to obtain the exact shape of your old nose no matter what is done during a Revision Rhinoplasty, so be certain that you understand aesthetically what the outcome will be from the planned revision.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Is Possible to Reverse a Cephalic Trim?

+1

Although the surgery can be "reversed" by adding cartilage and rotating the tip, that does not mean you should do it. However, if you decide to do this, do NOT expect to have the same nose as before your rhinoplasty. Changes to skin and new scar tissue make it very unlikely that your nose will be the same as before. Have a good discussion with your surgeon about your expectations and likelihood of being happy. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.