Shield tip graft revision

hey docs I have a question. Lets say a patient had a shield tip graft placed during open rhinoplasty. If a revision is needed and another open rhinoplasty is performed... after you do all the incisions like hemitransfixtion and all of that... when you finally go to lift up the nose does the shield tip graft stuck because of scar tissue to the skin that is trying to be lifted or usually it is just stuck to the tip cartlidges?

Doctor Answers 3

Revision rhinoplasty candidate

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  A revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, therefore a full set of photographs and an in-person examination required before making a judgment call about a difficult surgical procedure. If the shield graft is not causing any problems, it's best to leave it alone. If the shield graft is causing issues, it can be removed. Scar tissue will be circumferentially located around the graft between the graft and nasal tip cartilages and the skin.

Shield Tip Graft Revision

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Your question can be answered with a an examination but both scenarios are possible. Regardless of the problem you're having, an experienced revision rhinoplasty surgeon will make the necessary changes to improve your result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Rhinoplasty revision

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It could be either way depending on how it was initially placed.  If you are asking because you like the way it looks, then it can be replaced in the same way if needed.  Many times the graft will need to be removed to get access to certain nasal structures.  Also, many rhinoplasty revisions don't need to be done open.  Seek out a second opinion if they answers you are getting aren't clear.  Best wishes.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 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.