Unfortunately my tip was scaled down without my accordance. So I am looking for a possibility to get my former tip back. I estimate that the difference might be about 2 mm on each side at the thickest point. My tip was quite a perfect ball before and I am a little bit afraid that this might be a very demanding procedure. Moreover my nostrils seem to have lost tension due to the reduction of the tip cartilage and the tip shows some kind of asymmetry. Which procedures would be necessary?
Tip Augmentation After Involuntary Reduction?
Doctor Answers (3)
Nasal tip revision
I am guessing that to provide the same tip projection you may need tip grafts. But I can not say without an exam and pre-op photos.
Revision nasal tip surgery
Revision rhinoplasty of the tip of the nose can be quite difficult to perform. It is important to obtain old records, operative reports and photographs. It's also important have realistic expectations and best to bring in pictures of your old nose at time of consultation. There are multiple cartilage grafting techniques are available to her reconstruct the tip but it really depends on the pre-existing anatomy and how much cartilage is left on the inside of the nose after the previous rhinoplasty
Tip Recreation, Possible Valve Collapse and Nostril Changes after Rhinoplasty
If too much cartilage was taken and there is valve and nostril compromise, cartillage grafts are appropriate to reconstruct the tip and create alar struts for valve compromise or nostril symmetry concerns. Kenneth Hughes, MD Los Angeles, CA