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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...
It is a little hard to tell from the photo, but oftentimes, a filler can be placed in the nose to hide irregularities. Surgery would be needed to remove the graft, but it shouldn't be too extensive to simply remove the graft. Be sure to see a rhinoplasty specialist for consultation.
Based on the photos that you provided, I definitely think that your nose has a high probability of getting a good result from a revision. I highly recommend that you discuss your concerns with your current surgeon and, if your current surgeon does not perform a lot of revisions but does not feel...
Thank you for the photos and for sharing your story. I'm very sorry to hear that you have had such a difficult experience. Reviewing your photos, it appears that the tip of the nose is a bit asymmetric and that the tip cartilages are more vertically oriented than is desirable. In addition, the ...
A "pinched tip" is usually caused from overresection of the lower lateral cartilages. From your question, I am imagining that you have very thin nasal tip skin. This means that you will likely see every contour irregularity from the cartilage underneath. Therefore, often a fascial layer is pl...
A variety of tip suturing techniques, manipulation of the different segments of the lower lateral cartilage via maneuvers such as “steal” or “overlay”, and finally application of tongue in groove technique +/- caudal septal extension graft, the latter being amongst the more versatile a...
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