Tip derotation possible in revision?

Question

Is tip derogation very difficult to achieve? Im seeing doctors post that it is, or are they just not experienced? I had rhinoplasty in February and - my tip is rotated up and my columella (I believe thats the name for it) Is hanging more. So my nostrils show more as does my columella. -my nostrils are now cheerio shaped instead of the lovely oval/ Kidney bean shape they had before. I believe derotating the tip will give me back the shape I like. bottom line, is derotating a tip as a revision do-able?

Tanveer Janjua, MD · Answer

It is possible to achieve rotating the nasal tip backwards to where it was.  It usually involves grafting using cartilage from either the ear, nasal septum or the rib.It is difficult surgery especially when done as a revision surgery.RegardsDr. J

Michael R. Menachof, MD · Answer

Hi.  Yes, derotation of the tip is possible, but it is more difficult things we do.  All revision rhinoplasty's are difficult but ones in which you need to lengthen the nose a bit are some of the most difficult of all. Depending on how much cartilage was removed at your initial surgery, rib cartilage may need to be used.  It is very important in this kind of a revision rhinoplasty you find a surgeon not only experienced in revision rhinoplasty but one  who is experienced in derotating the tip, and has experienced using rib cartilage. Good luck.

William Portuese, MD · Answer

Revision rhinoplasty is one of the most difficult procedure to perform and the entire field of cosmetic surgery and tip de- rotation is extremely difficult. It's also best to wait at least a year before undergoing elective revision rhinoplasty to insure full healing has occurred. A hanging columella is decreased with a columella-plasty

Richard W. Fleming, MD (retired) · Answer

Tip rotation can be decreased but this may or may not be the best approach for you. Other possible techniques include the addition of tip grafts or the use of septal extension grafts. An experienced revision rhinoplasty specialist will use all of these approaches depending on the needs of each patient.

Jay M. Pensler, MD - Account Suspended · Answer

Without photos it is not possible to comment on your specific situation. Tip derotation is certainly possible. The issue with derotation centers around the degree of derotation necessary and the condition of the nasal skin and lining (mucosal surface). Options vary from dissection and a small cartilage graft to bone grafts and free tissue transfer to restore skin and/or lining.

Tip derotation possible in revision?

Answers (5)

Answer: Decreasing Tip Rotation

Answer: Decreasing Tip Rotation

Answer: Tip Derotation

Answer: Tip Derotation

Recommended reading

Everything you need to know about Revision Rhinoplasty

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

Tip derotation possible in revision?

Answers (5)

Answer: Decreasing Tip Rotation

Answer: Decreasing Tip Rotation

Answer: Tip Derotation

Answer: Tip Derotation

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

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