Is it possible to widen a nasal tip in revision rhinoplasty?

Question

If the tip defining points are too close together done with dissolvable sutures, can this be widened with a revision? If yes, how so?

Jacob Sedgh, MD · Answer

There are different techniques available to address a pointy or pinched nasal tip in revision rhinoplasty, and restoring good definition to the tip is one of the more challenging aspects of revision nasal surgery. The choice depends on the individual factors such as gender, ethnicity, skin thickness and quality, the shape and strength of the residual tip cartilages. Some of the maneuvers involve suture technique modifications, some involve grafting techniques of either reinforcing or reshaping with other sources cartilage and lastly soft tissue camouflage (blanket) grafts.

P. Daniel Ward, MD · Answer

Widening of the nasal tip is usually much more complicated than simply dividing the suture between the domes. The sutures really only serve the purpose of holding things in place so that the body can form scar tissue to hold the structures in position. There are many techniques available to widen the tip in a revision. See an expert in revision rhinoplasty to determine your best options.

John Layke, DO, FACS · Answer

There are many possible solutions to widening a nasal tip if the appearance becomes too "pinched."  The domes of the lower lateral cartilages can be widened with careful placement of sutures, placement of cartilage grafts, or completely reconstructing them.  Meet with a few Board-Certified plastic surgeons experienced in revision rhinoplasty, and they will examine you, create a 3d simulation, and develop a plan tailored to your individual scenario.

David Alessi, MD - Account Suspended · Answer

A tip can be widened with a revision rhinoplasty.  It is usually more complex then just removing the narrowing dome sutures and might involve grafting.  Seek out an opinion an opinion from a board-certified surgeon specializing in revisions.  Best wishes.

Is it possible to widen a nasal tip in revision rhinoplasty?

Answers (4)

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