Bulbous tip revision after septoplasty - revision or Tip Plasty? (photos)

Question

In 2007 I had a rhinoplasty in which the only procedure performed was to shave down a dorsal hump. No broken bones no cartilage changes etc. In 2018 I had a septoplasty to correct breathing issues. I have an extremely bulbous tip. When I seek consultations am I looking into revision rhinoplasty which is obviously far more expensive or am I seeking solely a tip plasty to reduce the bulbous shape

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide nasal tip with a hanging columella and nostril asymmetry. since you had previous surgery on your nasal septum, this does complicate your prospective procedure. I say this because we typically use septal cartilage for nasal tip reconstruction. Consider getting a copy of your operative reports and consult with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. Wishing you well. Dr Joseph

Selcuk Inanli, MD · Answer

Hello! First of all thank you for your question.I have evaluated your case and it looks like (from the photos) and it looks like your tip is upturned. Your right nostril looks higher and bigger than the other one. I don't know if your breathing is corrected now, but I recommend you a revision rhinoplasty to give a better shape to your nose and especially correct the tip. Only tip plasty won't be enough in your case. I also recommend you a chin implant combination with rhinoplasty.

William Portuese, MD · Answer

A full revision rhinoplasty is going to be required in order to reduce the bulbous nasal tip, narrow the bridge line, and reduce the hanging columella that's present. Ear cartilage might need to be used if grafting is necessary, since you probably don't have any cartilage leftover inside the nose after the septoplasty. Also consider placement of a chin implant for the recessive chin present on your side profile photograph. Placement of a chin implant will help with facial balance and proportions, especially from the side View with respect to your nose. Revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty specialist wisely based on extensive experience

Bulbous tip revision after septoplasty - revision or Tip Plasty? (photos)

Answers (3)

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