In my case, can shield graft be removed without issues? (Photos)

Question

I fear if this is removed, my entire tip needs readjustment. What's your professional opinion? I have a strut, dome binding sutures with 2mm cephalic trim, and cap grafts. My main concern is the tip looking artificial due to shield...

Eric M. Joseph, MD · Answer

We can see from your photographs that you have nostril margin asymmetry, and possibly visible cartilage in your nasal tip. If that is what is concerning you, depending on your examination, microdroplet Silikon-1000 nasal injections maybe a suitable remedy to lead to a more symmetrical and less operated nasal tip appearance.

Ali Sajjadian, MD, FACS · Answer

Thanks potatosew1 for your question! In rhinoplasty, shield grafts are frequently utilized to give the nose tip stability and contour. They can occasionally result in a more stiff or unnatural appearance, even though they might be useful in getting the intended outcomes.
A number of variables determine whether a shield graft may be safely withdrawn without affecting the final outcome, including:
-The precise method by which the graft was placed: The possible effects of removal will depend on how the graft was secured and sutured into the surrounding tissues.
-The nasal tip's general stability and health: Removing the shield graft could be feasible without causing serious side effects if the tip has healed well and is structurally sound.
-The intended visual result: Your surgeon must determine whether removing the transplant would help you achieve your desired nose look.
Talking to your surgeon about your worries is crucial. They are able to examine your particular circumstance and offer a customized evaluation. To get a more natural-looking outcome, they might be able to provide substitute choices, such little graft modifications or other methods.
It's important to keep lines of communication open with your surgeon. Don't hesitate to ask questions and express your concerns. A skilled surgeon will work with you to achieve your desired outcome while minimizing potential risks.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philospphy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.

Hope this was helpful!
Best wishes,
Dr Ali Sajjadian 
TRIPLE Board Certified Plastic Surgeon

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty with removal of the tip graft and nasal tip deprojection followed by placement of a soft mastoid fascia tip graft with a smoother appearance and contour.   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

In my case, can shield graft be removed without issues? (Photos)

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In my case, can shield graft be removed without issues? (Photos)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.