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Based on your pictures, your skin has a thick and sebaceous quality. What this means in terms of your tip definition is that simply removing excess tissue will not provide significant refinement or reduction in the bulbosity of your nose. Similar to trying to see what is underneath a thick duvet cover, in order to see the shape of your tip underneath your skin, the tip needs to be projected, and made a bit taller in order to show through your thick skin. Building up your bridge will also make your nose appear smaller and slimmer from the front.
You indeed have a very thick skinned nose and that is part of your ethnicity. It is also a short nose. My advice to you is to leave it alone based on 35 years of rhinoplasty and revision rhinoplasty. There is too much risk of making it worse. I do a large number of revisions from patients who say "I wish I had my old nose back".
you may require some cartilage grafting to the tip to create a sharp reimage as well as very subtle augmentation of the dorsum to build abridge up and create a nice contour that would blended in with your new tip. Trimming of some of the fibrofatty tissue of the tip may also be required.Chase Lay, MDDouble board-certified facial plastic surgeon
Tip rhinoplasty to remove lower lateral alar cartilages and the fibro-fatty tissue. Fee from $4,000...
Sparkles2000, I would most likely recommend a combination of a rhinoplasty followed by alar rim surgery. I prefer not to alterthe shape of the nostril at the time of the original rhinoplasty. I wait untilthe tip has settled and presented itself to the point that I feel comfortabletaking this step. Why do I stage this? First of all it is not reversible so ifone takes this step it must be done as precisely as possible. Secondly, when Ichange the projection, orientation and shape of the nasal tip it will changethe shape of the nostril in a way that is unpredictable which harkens back tomy first point. Finally it is a patient friendly step, can easily be done understraight local, with minimal bruising, swelling and post op discomfort. See 2-3 facial plastic specialists and discuss your expectations. Good luck!
It's probably in your best interest to wait a very long time months if not a few years before attempting any other revisions. Also using your own cartilage is going to be a better option if redness and visibility of implant material has been a problem.
The only approved implants by the FDA for use in cosmetic breast augmentation are from the three companies Allergan, Mentor and Sientra. I would not recommend any other implants for many reasons including safety and warrenty issues. However, if you want the most natural breasts possible, you may...
We do not recommend L-shaped strut silicone implants placed in the nose due to the problems we have seen with them. For Asian rhinoplasty, we will use a Flowers nasal dorsal Silastic implants manufactured by Implantech. Any synthetic implant can protrude if the implant itself was too big for the...