Is grafting necessary for my revision rhinoplasty? (Photo)

Question

After my initial rhinoplasty, my nose has a slight deviation and the tip isn't aligned. It's obvious and upsetting. Multiple surgeons suggested cartilage grafting, but I'm hesitant. My nose before never perfectly symmetrical, but now it's visibly off-center. osteotomies and tip techniques enough?

Gianfranco Frojo, MD · Answer

Yes, grafting is usually almost required in all rhinoplasty as the scar contracture forces will always overpower the native structure of the nose.  I would recommend finding a surgeon certified by the American Board of Plastic Surgery with experience in complex rhinoplasty issues. This surgeon ideally has also completed a fellowship accredited by the Aesthetic Society.

Eric M. Joseph, MD · Answer

Based on your two frontal photos, you appear to have a pleasing result after your rhinoplasty surgery. The asymmetry you may be referring to involves the lower 1/3 of your nose where there is a small bit of convexity of your right tip compared to your left tip. Depending on your examination, several droplets of Silikon-1000 maybe injected into your left tip to improve upon nasal tip symmetry. You could also consider having your nostril margins lowered as well for decreased nostril show and improved nostril symmetry. I hope this is helpful. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. All revision Rhinoplasty requires cartilage grafts in order to provide structural stability. Without grafts, this would lack stability and it would ultimately need yet another revision. With good surgical technique, you could have an outstanding result. 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

Is grafting necessary for my revision rhinoplasty? (Photo)

Answers (3)

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