Follow-Up Question - Change the length of my nose by reversing what previous surgeon did? (photo)
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Doctor Answers 4
Revision rhinoplasty is not a simple matter. Scar tissue will likely need to be addressed, and grafting to provide support is likely needed. A detailed evaluation and assessment will help to determine exactly what will be required to achieve the results you desire. Best regards.
Lengthening the nose after overzealous rhinoplasty.
Lengthening the nose will require a dorsal online graft to reposition the tip in proper three-dimensional space. Whether or not a separate graft, a columella strut graft, would be necessary requires physical examination for determination.
Revise, not reverse
IF what your surgeon has said is true, it should be possible to at least partially revers some of the tip work. However rebuilding the dorsum will require some grafting. Grafting your own cartilage is an important part of revision rhinoplasty in most cases. The most important thing for you to do is consult with a specialized surgeon with expertise in revision rhinoplasty to discuss your options. Good luck!
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Revision rhinoplasty is not as simple as simply reversing the previous procedure. Surgeons focus on maintaining or increasing support of the nose while reshaping. In your case this would most likely involve buiding up the bridge( a little), septal grafts and tip grafts for a start.
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