Can nose ligaments or a fusion sling be reconstructed or mimicked in revision?

Question

My nose was longer and wider, and I want length and width again and elasticity. Im not a fan of the graft currently holding my tip up. Is it possible to 'hang' the tip from the graft by reconstructing ligaments, or use fascia (or other solutions mimicking the fusion sling of the original nose) ) to suspend the nosetip from the graft, to recover some movement, and smush, like the original nose? There must be a way to recover this and restore length. I hope some of you are working on this, or can guide me with your expertise? Can a floating strut increase projection and recover smush? Thank you for your time and kind regards.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It would be helpful to view pictures of your nose to give you the most accurate advice. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Gary M. Horndeski, MD · Answer

The length and the width of the nose is determined by the cartilage bone. You cannot suspend the nose with fascia or ligaments as they don't have the mechanical strength to do that. A floating strut can float up and down and move side to side but is not recommended. Usually a spreader graft is used to augment the septum.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Can nose ligaments or a fusion sling be reconstructed or mimicked in revision?

Answers (2)

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