Raised Tip After Rhinoplasty Issue

Pro: Got rid of bump and nose is now straight....

Pro: Got rid of bump and nose is now straight.
Cons: Raised nose tip which was never discussed to alter as i was very happy beforehand of where it was positioned.

I did it just to get rid of the bump, which did happen, but the tip of my nose was raised for reasons i do not know!

I had rhinoplasty over a year ago to get rid of hump on nose. My nose is now straight,which I am pleased with, however my tip was raised quite high, for reasons i dont know, and i was very happy where it was to begin with and it was never discussed with my surgeon. I have quite a long nose too, which makes the raised tip look even worse. I have had many meetings with him since, the earlier ones, as the healing was still taking place he kept on telling me my nose tip would move back down but it never has which is beyond frustrating and beleive makes my nose look worse than it was before. The later meetings he suggested to get my nose tip back to where it was to obviously have revison done, which im not too happy about, however imo has to be done. He said about something called extended baton grafts which moves the tip back down, but said that there is risk that there will be a 50% swelling rate where some swelling will never go away and could make overall look worse which makes me very nervous, plus infection could occur etc. He, however did say he wont charge me for this, but this is a real ordeal for me and really need advise on how safe this operation is? if anyone has had it done before with good results afterwards? and if nose wont be really stiff afterwards too? Generally really nervous and a real big decision, but after living with this nose with the tip raised trying to convince myself to get on with it, it really frustrates me so i know i have to get it done, but the compications worry me. Thanks for your information and advice in advance.

Dear wrongdoing, "Raising the tip" is a common practice among those of us performing rhinoplasties. However, excessive upward "raising" can result in a situation known as "over-rotation" and is something that I occasionally see in secondary rhinoplasty consults. I agree with your surgeon that over-rotation can be a difficult thing to correct secondarily and would, in general, require grafts to the nasal tip. These grafts serve to restore the tip to its proper location and rotation relative to the face (imagine an internal splint holding the tip down) or cartilage grafts placed over your current cartilage. The primary concern in this, beyond how it looks of course, would be the stability of the cartilage grafts over time. Their tendency is to shift or move if not performed and secured correctly. I wish you the best with your surgeon and any revisions you may have. Michael Spann

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