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What next for large, crooked nose tip after tip plasty & full revision after? (Photos)

Giving978084
My tip still too large, crooked and asymmetrical. Seeking recommendations. After a full revision and months of healing, rib grafting to project nose and attempt to straighten nose, here is my results. Profile looks good, but tip remains too big and asymmetric. Next step is to use composite skin graft from ear to add alar curvature. But adding alar will not fix my big tip. Would adding alar span/interdome sutures align my tip with bridge width? Ir would dome division be helpful? Can more b done? I just want a nose that wont distract from other features. Ideas?

Answers (2)

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Dr. Nima Shemirani, MD
Board Certified Facial Plastic Surgeon
4.9 | 276 Reviews
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Dr. Gurkan Kayabasoglu, MD
Facial Plastic Surgeon
Answer
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