I still have marked asymmetry in my nostrils and tip. I have concerns about having another intrusive operation. What is the least intrusive option for aligning nostrils and possibly augmenting the tip? If i just have the nostril rims aligned (left one lowered, right one highered) could that be done without opening up my columella again? Thanks v much for advice/help.
Are Tip Plasty Incisions Less Intrusive?
Doctor Answers (3)
Tip Plasty Incisions
Typically, tip plasty incisions are not necessarily any less intrusive than other incisions, though it all depends on what your anatomy is and desired final outcome. I suggest visiting a facial plastic surgeon that has an immense knowledge in rhinoplasty procedures.
Web reference: http://www.facialplastics.info/rhinoplasty.html
Least intrusive method to align nostrils/augment tip
The least intrusive operation would be to do Weir wedges to align the nostrils, and possibly a filler to the nasal tip for augmenting. This would not require opening the previous columellar or rim incisions. However, you must be examined by a plastic surgeon who can determine if this approach will be appropriate in your case.
Tip Plasty with Closed Approach
I perform the tip plasty through the closed approach every day, but every surgeon has his or her preferences.