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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.
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.
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.
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.
Usually we think about waiting a full year for a revision, because then we really really know what to correct, *and by how much*. That time can often be cheated by a month or two without any harm. Six months is probably a bit short.Be sure to read the section in the "Learn more" link on how to...
With the limited photograph you provided, it is difficult to make specific recommendations for your case. However, in general, the treatment for a prominent or malpositioned cartilage graft would be with a revision surgery. To prevent visibility of appropriately positioned cartilage graf...
Hi,Yes you can get a better result. I would do this as open revision rhinoplasty and you may need ear cartilage graft. But if you already have rib cartilage, it may just need to reposition the graft.Best,Dr.S.