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Twisted and Buckled Nose Tip

asked 1 year ago by english_27 in england
Latest answer by Richard W. Fleming, MD
Question viewed 441 times
Tags: female, tip, twisted

Hi. I had a rhinoplasty 2.5 years ago, the tip was fine for the first year or so. Ever since then the tip has sort of twisted and buckled. Is there any possible reason for this? and can anything be done to get the tip lookin normal again? Thanks

8 answers to Twisted and Buckled Nose Tip

+1

Twisted tip after rhinoplasty.

This is caused by scar tissue contracting and/or surgery bot providing enough stabilization. This can be revised  and made straight with revision surgery done by an experienced revision rhinoplasty surgeon.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Twisted and Buckled Nasal Tip

As other surgeons have sail the tip distortion is probably secondary to scar contraction. Your present appearance can be improved by a good revision rhinoplasty surgeon. This will probably involve placement of cartilage grafts to restore a desirable tip contour.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Twisted nasal tip

At two and a half years out from rhinoplasty a possible explanation for the tip twisting is probably the result of scar tissue. You may want to consider s revision.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Nose became distorted over time

In many instances the forces exerted by the healing process cannot be predicted and can produce distortion of an initially satisfying result. Surgical revision would require reinforcing the weakened structures to prevent future distortion.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

The nose can continue to change for years following rhinoplasty

Most Facial Plastic & Reconstructive Surgeons consider rhinoplasty to be the most difficult procedure that we perform. It is initially challenging to perform well with the additional risk of changes that occur during the healing process that can take years to be revealed. At 1 year or later following surgery you are a candidate for revision tip rhinoplasty to improve the appearance and symmetry of your nasal tip. Another option would be injecting filler but this is a temporary fix,... more
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon

www.lonetreefacial.com

+1

Can anything be done about delayed twisting and buckling of the tip after rhinoplasty?

Though not a typical occurence, the nasal tip cartilages can buckling or twist after nasal surgery due to scar contracture forces. Here are some points to consider: Patients with weak tip cartilages (some people have more firm nasal tip cartilage than others) have a higher chance of tip buckling. This effect can be amplified in patients with thin skin since any irregularities in the underlying cartilages is more easily seen. Some rhinoplasty surgeons (not necessariy in your... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Considering revision rhinoplasty 2.5 years after surgery? You have options!

Well, it's definitely a drag that your nose has started to show some changes including buckling and twisting.  This may occur as scar tissue develops and structures shift under the skin.  Fortunately, you have several options! Revision Rhinoplasty surgery which may involve using some of your own cartilage to reconstruct your nose. Non-surgical revision rhinoplasty using dermafillers to correct some of the concavities and asymmetries that have occurred... more
David Mabrie, MD

Bay Area Facial Plastic Surgeon

yourfaceinourhands.com

+1

Twisted tip after rhinoplasty.

The fact that your nose looked good for "the first year or so" is testament to the fact that your surgeon did a good job of shaping the structural elements of the nose to give you the desired appearance. But, continued healing and scar formation has caused the cartilages that form the structure of your nose to collapse and buckle, which we see in a few patients who create more aggressive scarring than the "mythical average" patient. This is not your fault, nor is... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

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