Extending the tip of the nose? Revision rhinoplasty (Photo)

Question

I am looking to get a revision rhinoplasty as I feel like the cartilage implant where my nose begins has shifted a bit to the left and also cause I am not happy with my profile. Based on the pictures, what would be the best way to achieve a more balanced profile. I am happy with the height of my bridge but from the side I feel like the tip is not defined at all.

Benjamin C. Marcus, MD · Answer

I agree with many of the comments that are already posted. For your type of nose it is key to understand what your skin envelope is like. If there us still some flexibility we can augment your tip with further cartilage grafting to help define.

Paul M. Parker, MD, FACS · Answer

I think your assessment of your nose is accurate. A revision would likely entail thinning the tissues in this area as well as creating more projection and definition of your tip. There are a number of things which can be done to achieve this. It would require some re shaping of your existing cartilage and/ or the addition of a cartilage graft to the nasal tip.

Thomas A. Mustoe, MD, FACS · Answer

I would agree with your assessment of the nose. Although your nose looks nice from the front view, with mild asymmetry, the tip on profile is rounded and not well defined.   Revisional tip surgery with modifications of the grafts, and probably an additional cartilage graft taken from the septum combined with some thinning of the tissues of the nasal tip should give you a nice improvement

Tarick K. Smiley, MD - Account Suspended · Answer

Revision rhinoplasty can help you achieve the desired appearance, however, you must realize that secondary or tertiary surgery is more technically challenging and more complex than primary nose job.  For this reason, find someone who is not only board certified but also offers revision as his or her niche procedure. Revisions are more challeging because of the presence of scar, thicker skin, and cartilage/bone that has been previously manipulated.  They also result in longer postop swelling and recovery.Good luck and best wishes.

Richard W. Fleming, MD (retired) · Answer

I agree with your critique of your nose. With a revision surgery the asymmetry can be corrected and the tip definition and projection can be improved with a cartilage tip graft.

Extending the tip of the nose? Revision rhinoplasty (Photo)

Answers (5)

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