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What Can Make the Lower Lateral Cartilage Area of my Nose and Tip Look Fuller?

My PS removed much of my lower lateral cartilage and sutured my tip to refine my very bulbous nose. It is now much too narrow and pointy for my mid bridge area. What can be done to add fullness back to my nose? I don't want it bulbous again but don't want the pointy narrow look I have now at my tip and concave look where lower lateral cartilage was removed. How can this be done? I still have all my septal cartilage as the septal area was not touched at all. possible?or considered difficult? Thx!

Doctor Answers (5)

What Can Make the Lower Lateral Cartilage Area of my Nose and Tip Look Fuller?

+1

Dear Ella,

Thank you for your question.  Many different types of cartilage grafts, depending on your situation, can be used.  Either only type grafts, or strut type grafts.

Best Wishes,

Pablo PRichard, MD


Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

Reconstruction of the Tip Cartilages

+1

If too much cartilage was removed from your lower lateral cartilages (tip cartilages), these can be reconstructed during revision rhinoplasty with cartilage taken from your septum. I frequently place lateral crural strut grafts, which are nice, strong, flat pieces of cartilage placed underneath the remnants of your tip cartilages, to better support them. This can reverse the pinching of the nose and lower the nostrils if they are too visible. I would recommend consulting with multiple board-certified revision rhinoplasty specialists to determine the best surgical plan for your nose.

Best regards,

Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Adding Fullness to Tip

+1

Fullness can be restored to your tip using cartilage and/or fascia. If done by an experienced revision rhinoplasty surgeon the tip contour can made stronger and well defined without adding too much bulk.

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

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Restoring Fullness to the Nasal Tip

+1

Dear ella3,

An overly defined nasal tip can be softened during a revision rhinoplasty procedure. Choosing the best technique (including grafts, etc.) depends on your anatomy, your goals, and what was done during your previous operation.

Please see an experienced, Board Certified Plastic Surgeon or Facial Plastic Surgeon to discuss your concerns. It would be helpful to your surgeon if you have the records from your previous operation.

Warmest wishes,

Larry Fan, MD

Larry Fan, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 10 reviews

What Can Make the Lower Lateral Cartilage Area of my Nose and Tip Look Fuller?

+1

 A conchal cartlage ear graft to the nasal tip is the best way in my opinion to re-define the nasal tip.  I'd have to see pictures to decide what's the best course of action for the supra-tip area if any.

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