Augmentation Rhinoplasty. Need Recommendations For Revision?

Hi a year and a half ago i had surgery with 2 doctors 1. ENT 2.Cosmetic doctor - the ent worked on my septum and the "cosmetic doctor" had to make my tip smaller . instead he carved rim grafts from the remaining septal cartilage and place it into precise pockets in the tip of my nose the result : bigger nose !!! i'm in l.a area and will appreciate any help with solution with this matter or referral to the RIGHT doctor that can take it out thanks a lot

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Doctor Answers 5

Revision for augmentation rhinoplasty

Rim grafts typically do not increase the size of the tip, but they can cause some flaring of the alar rim (nostril) when not carefully placed.  Simply removing the rim grafts is a simple procedure, but may not achieve the   Regardless of the cause of your unsatisfactory tip refinement, revision surgery should be able to improve it.  Two excellent revision rhinoplasty specialists in LA are Dr. Paul Nassif and Dr. Babak Azizzadeh.  

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Augmentation rhinoplasty and revision

It should be rather straightforward to remove the cartilage of the alar grafts.  This could probably be done under local anesthesia if the patient can tolerate the injections.  It is also important to make sure that there is excellent breathing through the nose prior to removing the graft.  If the nostrils are still quite wide, consideration for alarplasty should be made.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Augmentation Rhinoplasty. Need Recommendations For Revision?

A revision rhinoplasty is possible to improve these issues. The rim grafts can be removed, a tip graft can be placed or both to try to give you the nasal appearance that you desire. Seek a Facial Plastic Surgeon with extensive revision rhinoplasty experience. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Bigger nose after tip grafting

It would be useful to see your prior operative report to see the additional details, but it should be possible to remove or revise your rhinoplasty at this stage. In some cases rim grafts can lead to increased nostril flaring which can also be treated.


It would be best to visit with an experienced revision rhinoplasty surgeon to see what your options are at this stage.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Revision of Augmentation Rhinoplasty

Unfortunately over the past 35 years I've seen numerous patients like yourself who had similar problems after their rhinoplasty. Your tip can be reduced and refined by a surgeon experienced in revision rhinoplasty surgery.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.