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Revision Rhinoplasty Concerns – Rib Cartilage Harvest, Nasal Tip Correction, and Skin Envelope Limitations (photo)

Genuine852011
Seven years post-primary rhinoplasty for dorsal hump reduction left me with an over-rotated "piggy" tip. A revision using rib cartilage (harvested via 8 cm incision by a thoracic surgeon) provided minimal radix augmentation and no tip improvement. Key questions: Does large incision/non-plastic surgeon suggest technical issues? Can another revision de-rotate the tip and restore a natural profile?Are grafts/tissue expansion viable for reconstruction despite limited skin? Thank you.

Answers (4)

From board-certified doctors and trusted medical professionals
Mark K. Markarian, MD, MSPH, FACS profile photo
Dr. Mark K. Markarian, MD, MSPH, FACS
Answered on Mar 18, 2025
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Dr. Mark K. Markarian, MD, MSPH, FACS
Board Certified Plastic Surgeon
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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Answered on Mar 18, 2025
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Eric M. Joseph, MD profile photo
Dr. Eric M. Joseph, MD
Answered on Mar 17, 2025
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Dr. Eric M. Joseph, MD
Board Certified Plastic Surgeon
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Brendan Alleyne, MD, FACS profile photo
Dr. Brendan Alleyne, MD, FACS
Answered on Mar 17, 2025
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Dr. Brendan Alleyne, MD, FACS
Board Certified Plastic Surgeon
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