I Was Thinking About Rhinoplasty , As I Have an Upturned Nose, I Have Had 3 Cosultations

asked 1 year ago by sedvid in glasgow
Latest answer by William Portuese, MD
Question viewed 208 times
Tags: male, upturned

i am told rib grafft would be good , but has a down side , ie feels hard , 2. was given advice by 2nd surgeon [ ear cartledge ,but might not last ]3rd surgeon, septal catrledge ,but may not be sufficiant amount??? would realy like some advice on the right way to go ...

9 answers to I Was Thinking About Rhinoplasty , As I Have an Upturned Nose, I Have Had 3 Cosultations

Most patients don't need rib cartilage.

Septal or ear cartilage has lasted and been sufficient in 35 years of rhinopasty. Choose a surgeon who does good noses.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty and graft to correct upturned nose

Nasal septal cartilage is the best grafting source for augmenting the nasal bridge. If you have a cartilage-depleted nose the next best source is the ear. Another consideration would be rib cartilage, but it does tend to make the nose quite stiff. A synthetic silastic implant is a good option if you do not wish to undergo the rib cartilage harvesting procedure. Look for a rhinoplasty surgeon who has performed thousands of nasal surgeries since this appears to be a difficult rhinoplasty.... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Treatment of "Upturned" Nose

It is rare that there is not enough septal and ear cartilage to lengthen the nose in primary rhinoplasty - rib grafts should not be necessary. After healing is complete, the tip will feel normal.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

DeRotating the Nasal Tip

Without photographs it is difficult to give you specific advice. Is your nose turned-up naturally? Did you break your nose? Did you have a prior rhinoplasty. The general technique involves de-rotating tip or lengthening the nose. de-rotating/lengthening is generally more difficult to do that rotating or shortening the nose. As you have learned from your 3 consultations, de-rotating the nasal tip involves adding some type of cartilage. The type of cartilage and technique will... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Cartilage graft of choice for upturned nose job

There is no definitive answer here for the choice of graft material. You most likley require a septal extention graft to lengthen the tip of the nose and make it apprear.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

The best graft for an upturned nose

The three alternatives to augment and lengthen an upturned nose are all good alternatives. The septum is by far the easiest and the area where borrowed is invisible. The volume is limited, though without an assessment it is hard to know if this alternative is ruled out. The ear cartilage is great, and remember you do have two ears from which to borrow. The cartilage will not 'go away' and would be my favorite. The rib cartilage is great at the extreme when the nose requires... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Rhinoplasty

If you have a very low dorsum and do not have a lot of nasal cartilage, sometimes rib is necessary. However without an exam I could not say.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rhinoplasty , As I Have an Upturned Nose, I Have Had 3 Cosultations

Very hard to advise without posting some photos. My guess is ear cartilage grafting, but only a guess. Best from MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Dorsal Grafting Material

There is no one perfect material for grafting of the nose. Each has its advantages and disadvantages. As you have seen three surgeons all recommending augmentation, it would seem that you must have a fairly significant correction that needs to be done. There are two aspects that you need to consider: the appearance and the function. If you can't breath through your nose it will not make any difference how it looks, you will be unhappy. Make sure that... more