How complicated is a revision to lower the tip of my nose?

Question

Had an open rhinoplasty 1 year ago. My surgeon refined nasal bone spurs from multiple breaks, small work to the tip (pinched the 2 sides together to reduce slightly visible separation), shortened the projection and lifted a bit, & columellar strut. Happy with everything, except the tip lift. It's just a little too much, and I'd like a revision to lower it back a bit. Would this be a complicated procedure - open or closed approach? And is it worth it - or would it fall some naturally as I age?

Jeffrey Epstein, MD, FACS · Answer

If the nasal tip has not already dropped, it is fine to proceed with addressing it.  Sometimes this can be done fairly simply by removing the columellar strut and or doing some soft tissue work, other times it can take a moderate amount of challenging work using a septal extension graft with tongue-in-groove

William Portuese, MD · Answer

A full set of pics and an exam are required to make any determination about what can be accomplished due to scar tissue and previous surgical alterations to the normal anatomy

Richard W. Fleming, MD (retired) · Answer

Without pictures it is difficult to recommend what can be done to lower your tip. Sometimes simply decreasing tip rotation, which can be done under local anesthesia, will provide the desired result. In other cases a septal extension graft, which is more complicated, will be necessary.

How complicated is a revision to lower the tip of my nose?

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How complicated is a revision to lower the tip of my nose?

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