Marotta Hair Restoration

A: You are a good candidate for rhinoplasty. The nasal tip can be narrowed and more defined with rhinoplasty. Your profile is very nice but you have a slight dorsal hump which can be reduced and make it look even better.

A: Surgical rhinoplasty is the only way to address a bulbous nasal tip. Tip-plasty alone can be done in cases like yours where there is no hump and the bridge is lower than the tip. Keloids are relatively rare in rhinoplasty surgery in rhinoplasty surgery. If you have pierced ears and no keloids you are not likely to keloid from the surgery. A bulbous tip can be addressed by reducing the tip cartlages, suture maneuvers, tip grafting, and thinning the nasal skin. Hope this helps :)

A: I perform both dorsal preservation rhinoplasty using ultrasonic instruments and open structure rhinoplasty using standard rhinoplasty tools. As in any technique, the devil is in the details. One is not inherently better than the other. I am very careful in patient selection. Dorsal "preservation" can be as disruptive or more than standard techniques given you fracture the entire nasal complex and remove some of the dorsal supports to bring a hump down. The only thing preserved in some cases is the junction between the upper laterals and the dorsal septum. The key is the surgeon skill at performing rhinoplasty, their experience with any technique they are using, and appropriate patient selection. For example, a surgeon advertising ultrasonic rhinoplasty and dorsal preservation may be doing his 3rd case (given this technique is relatively new to most surgeons). I hope this information helps.