Best Technique for a Revision Rhinoplasty on a Bulbous Nose Tip?

Since revision rhinoplasty seems to be a more difficult procedure, I want to make sure I understand the right surgery, my nose is now narrow and unnaturally sharp looking?

Doctor Answers (6)

Revision Tip Rhinoplasty

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There is not a single best technique in any revision rhinoplasty. Each nose presents its own difficulties and unique anatomical issues. In addition, the corrective maneuvers will depend largely on what was done to the cartilages in the primary procedure. It seems from your description that you started with a bulbous tip and ended up with an overly pointed tip. In such a case, structural and aesthetic cartilage grafts may be needed (from the septum, ear, or rib cartilage). Photos and an operative note are key to surgical planning. Best of luck!
 


Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Best Technique for a Revision Rhinoplasty on a Bulbous Nose Tip?

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  Photos would help with the evaluation.  Revision Rhinoplasty differs from Primary Rhinoplasty because the nasal bones, cartilage and tip have already been modified during the previous Rhinoplasty.  However, the goal remains the same in all Rhinoplasty Surgery IMHO....to create a natutral, more attractive and aesthetically pleasing nose.  This may entail an open or closed Rhinoplasty, which for me personally over the past 20 years has a certain set of requirements to choose one procedure over the other.  

  Frequently, in Revision Rhinoplasty, a focused, goal oriented approach is the best avoiding things that have proven unreliable over time...like rib bone, rib cartilage, folded ear cartilage, Goretex, medpore, irradiated (banked) cartilage and L-shaped silastic implants.  These have all proven to be problematic, in the long run, in the litearature IMHO and as such should not be used.

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

Best technique for bulbous tip during revision rhinoplasty

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A significant challenge of revision rhinoplasty is that it is very difficult to know exactly what is contributing to the outer appearance of the nose after it has been surgically altered and allowed time to heal.   There are several reasons why a nasal tip can appear bulbous after primary rhinoplasty, and therefore, there are multiple techniques that can be utilized by your surgeon during the revision surgery to address the specific needs of your nose.  You should not focus on a specific technique, but rather on finding a board certified surgeon who has a great deal of experience in revision rhinoplasty.

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Best Revision Rhinoplasty Technique for Bulbous Tip

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There are several techniques used to revise a bulbous tip depending on the needs of each patient. Do not pick the technique, pick the experienced revision rhinoplasty surgeon whose results you have seen on their website and who you feel has provided a thorough, comprehensive consultation.

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

Revision rhinoplasty best technique

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One of the major difficulties of revision rhinoplasty is that the surgeon does not know how much original cartilage is remaining and what shape it is in from previous healing and contracture. Therefore while the surgeon may have an ideal shape in mind for you he/she can't be sure what needs to be done to fully execute it until your nose is exposed in surgery.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Which technique for revision rhinoplasty for sharp tip

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There is no one best "approach" to improve a narrow, sharp tip. The plan would be customized depending on your specific features and goals for improvement. 

In general, to make an overly sharp, narrow nose more natural appearing, cartilage grafts are required. These are usually taken from the septum, ear or rib.

 

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 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.