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Hello and thank you for your question. Generally speaking, at least six millimeters of lower lateral cartilage should be left after cephalic trim. There are many maneuvers which can be performed during a revision to correct this depending on your anatomy. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Although there are some rules about preservation of lateral cartilages to maintain good airway support (5-6 mm) decision about how much to trim and how to use trimmed cartilage is in the scope of surgeons intraoperative decision. I hope this may help. Good luck.
Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. Septoplasty can also be performed to help...
Hello and thank you for your question. Both autologous rib and donor cartilage can be safe and effective sources of grafts as has been well established in the literature and clinical practice. One advantage of donor cartilage is less time under anesthesia and less risk of donor site morbidity....
Thank you for your photos. It does not appear that you have a large dorsal hump, although your nasal dorsum could be lowered a millimeter or two in order to refine your dorsal appearance. To improve your nasal tip contour and position would likely require some excision and suture shaping of...
Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good...
Hello and thank you for your question. For the best and safest results with rhinoplasty, I always recommend doing this under general anesthesia with a board-certified anesthesiologist I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you...
Hello and thank you for your question. There are many reasons for breathing obstruction and many possible maneuvers that can be performed as part of a comprehensive rhinoplasty to improve breathing. It really depends on your specific internal anatomy.. I recommend that you seek consultation with...
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