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What Kind Of Revision Surgery Could I Get To Round The Square Tip of My Nose?

asked 9 months ago by X7353 in europe
Latest answer by William Portuese, MD
Question viewed 303 times
Tags: nose tip, female, refine pores

Hello, it has been now 10 months since my septo/rhinoplasty, the surgeon took out a dorsal bump and made the tip smaller. Now that the swelling is almost gone, the tip looks very angular and maybe too narrow, there is a bump on one side of the tip, and the nose looks pinched on one side. The doctor likes to put fillers to solve these small problems but I have chemical sensitivity, so that is out of the question. What kind of surgical procedure I need to make the tip rounder? thank you

7 answers to What Kind Of Revision Surgery Could I Get To Round The Square Tip of My Nose?

+1

Revision rhinoplasty to round a square tip nose

Making the tip more round can be done by a combination of grafts, such as alar rim grafts, alar baton grafts, and spreader grafts. The important thing to know is whether or not there is enough cartilage inside the nose for grafting material.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

How to improve angular, pinched tip after prior rhinoplasty

I can see what you mean when you note the more angular tip. This can likely be improved with a revision procedure, though your nose is tricky given how thin your skin is. This thin skin is what allow the edges of the cartilage of your tip show through and give the sharp appearance. You may have had cartilage grafting placed in the tip to give it definition. Revision surgery could address this in addition to the notching that you can see to the sides of you tip itself. This isolates the... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

www.drlamperti.com

+1

Angular Nasal Tip Following Rhinoplasty

Looking at your photos provided, I would agree that your tip appears more angular and sharp than it should be. For your face, it would be more appropriate to have a more convex, slightly rounded nasal tip instead. This type of problem is encountered in some cases of rhinoplasty where the tip cartilage has been reshaped and the nasal skin shrink wraps down to reveal unwanted cartilage angles and corners. This is usually corrected with revision rhinoplasty surgery with use of cartilage grafts... more
John M. Hilinski, MD

San Diego Facial Plastic Surgeon

www.drhilinski.com

+1

Tip issues

The prominence of your nasal cartilages may be the occurrence of the skin shrinking around your cartilages. Fillers can camouflage this a bit, but they will get absorbed. Sometimes revising the rhinoplasty by adjusting the cartilages or adding temporal fascia as a blanket( thickening layer may help.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Pinched tip

You have experienced what is sometimes called the "shrink wrap" effect. As the skin swelling reduces the skin contracts around the narrowed cartilage and if it is not strong enough to resist this contracture there is pinching and angular points. Fillers willonly camouflage the problem. You need to have the tip resupported and sometimes the skin as well if yours is very thin.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Pointy square nasal tip

Rhinoplasty in persons with thick cartilages and thin skin can ocasionally result in bossae. This occurs when the soft bend in the tip cartilages tighten and become more visible through the skin. Correction of this type of appearance generally requires open revision rhinoplasty with reconstruction of the tip cartilages and possibly temporal fascia grafting to help thicken the skin.
Behrooz Torkian, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty revision for a pointed tip

If you feel your tip is a bit to pointed there is a solution. The correction would likely involve an open rhinoplasty, allowing for complete exposure of the cartilages and greater control. Rearrangement of the tip cartilages may be necessary, as well as possibly an on-lay graft. Temporal fascia grafting way also be warranted if your nasal tip skin is very thin.
Leif Liu Rogers, MD

Beverly Hills Plastic Surgeon

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