Can a cephalic resection be reversed/ can it be reconstructed?

Question

Unfortunately in a primary rhinoplasty too much was recected of my alar cartilages. Is it possible to build them up again?

William Portuese, MD · Answer

Yes, the nasal tip can be reconstructed with cartilage grafting techniques which include alar batten grafts, spreader grafts, alar rim grafts, and a composite graft.  A full set of pictures and an in-person examination is required due to the fact that revision rhinoplasty is even more difficult than a primary  rhinoplasty.  For more information  and many examples, please see the link and the video below

Alejandro Nogueira, MD · Answer

Yours, if real and accurate diagnosis, is a common issue for nasal revision specialists, needing grafting to restore, reinforce or repair the over resected or damaged lateral cruras and tip support.

Robert S. Schmidt, MD · Answer

Thanks for your question. This is a common problem that people come with after primary rhinoplasty. Over resection of your lower lateral cartilages can cause over-rotation of your tip. In disastrous cases it can lead to collapse of the nasal alae. You can reconstruct them during a revision rhinoplasty using cartilage grafts either from your septum or your ears. The techniques work well. Check out my before and after for an example. Good luck!

Can a cephalic resection be reversed/ can it be reconstructed?

Answers (3)

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