Can a cartilage graft in revision rhinoplasty be used to lower one side of the nasal tip?

Based on your photos, you appear to have very thin nasal skin which is showing several irregularities of your nasal tip after rhinoplasty 10 years ago. In our experience, microdroplet Silikon-1000 injections may be considered for adding volume, improving nasal tip symmetry, and for a decreasing Stigmata of previous rhinoplasty. I hope this helps. Sincerely, Dr Joseph

Hello and thank you for your question. Based on your photographs, there are many maneuvers which could be performed to help improve your nostril symmetry including alar contour graft placement, tip realignment with tip deprojection, placement of mastoid fascia graft in the tip, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

An in person exam would be necessary to assess, but cartilage grafting may be necessary to reshape the nostrils. This area usually has the most asymmetry during and after rhinoplasty. While it is impossible to get perfect symmetry, we can usually provide improvement. Certainly a photo of the entire nose with all angles would be necessary. Our office performs, revision rhinoplasty almost weekly, and this procedure has a higher level of complexity, which requires a board-certified plastic surgeon specialized in Revision procedures. Good luck.

Kailash Narasimhan, MD
Narasimhanplasticsurgery.com