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How can a nasal tip be widened?

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FrankenNoseSep 23, 2016
I used to have nice 3/4 views with a boxy tip that projected out. Now after 2 surgeries both with Cephalic alar dome trims, my tip is half the size it used to be and is no longer boxy. 3/4 oblique view used to be my best angle, now it's hideous. How can my tip be widened and made to have that nice boxy 3/4 view again? Ear grafts?

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Dr. Robert Morin, MD, FACS
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Dr. Robert Morin, MD, FACS
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Answered on Feb 5, 2017
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Dr. Toby Mayer, MD
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Dr. Toby Mayer, MD
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Answered on Sep 24, 2016
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Steven M. Denenberg, MD

See the "Web reference" link, just below my response. I made a couple of computer morphs of your nose, and a animations of the morphs, to show the changes that are possible for your nose in truly expert hands.Mostly, I elevated the drooping tip of your nose. The shape of the tip cartilages m...

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Eric M. Joseph, MD

Non-surgical rhinoplastic revisions with liquid injectable silicone may be considered for nostril lowering and for filling irregularities that may result from revision rhinoplasty surgery. Temporary gel fillers have been associated with vascular occlusion and dead skin in a minority of cases...

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Steven M. Denenberg, MD

It's true that straightening the frontal view of a nose is one of the more difficult tasks in revision rhinoplasty, especially if the nose is "naturally" crooked. It does appear that you have some other facial asymmetries that would make it harder to straighten the nose successfully. Here's...

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Toby Mayer, MD

Sorry for you having to do this a third time but your septum AND NASAL BONES are still crooked.This can only be fixed with a revision rhinoplasty done by a very experienced revision rhinoplasty surgeon. Have several consultations and look at the surgeon's results with noses like yours. It can b...

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Andrew Miller, MD

While spreader grafts may help a little with the bony sidewalls, they are primarily used to widen and improve collapse of the middle third of the nose. Any revision rhinoplasty is difficult, but if you find a surgeon with a lot of experience you should be able to get an improvement.

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