Tip rhinoplasty risks versus full rhinoplasty risks?

Hello,

Thank you for your  questions. I have performed many re-do rhinoplasties and understand your questions. More "things" done at one surgical procedure does not necessarily equate to a higher complication rate. The risks of a rhinoplasty are often based on one's pre-operative communication. I provide my patients “computer morphing” which allows them to view possible post-surgical outcomes. I also have them bring in pictures from magazines of noses they like and do not like. Why? Because communication before having surgery is very important.

If you haven’t done so yet, you can see some of Dr. Kulick’s results on his web site in the link below. If you look at case # 2906 and 2844, you can see how revision procedures can be helpful. 
The goal is to have you obtain your desired post-op result initially. This does require you to have a face-to-face consultation. It will be time well spent. Based on your expressed wishes, many things can be performed.

Sincerely,

Dr. K

Most patients must undergo a full rhinoplasty to ensure that all of the components of the nose balance with themselves, and the entire new nose balances with the patient's facial features. We rarely perform a tip-plasty or a columella strut due to complications when seen from it. Rhinoplasty for the droopy and crooked nose is a difficult endeavor, so choose your surgeon wisely based on extensive experience. Osteotomies  are usually required to straighten a crooked nose.

Unfortunately there is a not a straight-forward answer to your question.  There are a number of variables to consider.  The first is your individual nose and anatomy.  If there are issues within the midvault and nasal bones (upper 2/3 of the nose), and they are not addressed with the operation, you will not be happy and no matter how well the tip procedure was performed.  Additionally, issues in the upper 2/3 of the nose are not always apparent and can be unmasked during correction of tip deformities.  Another important factor is surgeon preference.  Rhinoplasty is a very diverse procedure with multiple ways to go about getting to a similar endpoint.  I would find a surgeon that you are comfortable with and follow their recommendations to maximize your chance of getting a great result.  Good luck.

Although, what you are proposing may be true in general, that a full rhinoplasty may carry more potential risks than a tip rhinoplasty;  I would not let this issue dominate which option may be in your best interest.  In the right patient a tip rhinoplasty, alone, can be a very successful procedure.  However, if there are problems with the supra-tip area and/or nasal dorsum, then a full rhinoplasty may be the better option, regardless of relative risks.  Seek out a board certified plastic surgeon who has extensive rhinoplasty experience.  They should be able to help you make an informed decision in your case.  Best wishes, Dr. Lepore.  

Theoretically it make sense that there are fewer risks with less surgery but don't compromise your result and end up with a nose that is not balanced because of limited surgery. Overall the risks of complications after a rhinoplasty are limited if the procedure is done by a rhinoplasty specialist. This can be clarified during a consultation after an examination.