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Thank you for your question. You should absolutely consult with your physician about your smoking habits in order to obtain the most reliable and individualized medical advice. It's best to avoid smoking for at least two weeks prior to rhinoplasty. This applies not only to conventional cigarettes, but also to marijuana. Also make sure to avoid smoking marijuana for at least two weeks after surgery as it may interfere with your healing process. Smoking after surgery may restrict the flow of blood to the healing areas, exacerbate swelling, and prolong recovery. I'd recommend to consult with your plastic surgeon as he or she may have different guidelines for smoking. An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!
Based upon your photos, you appear to be a candidate for Rhinoplasty with Nasal Tip Surgery to refine your nasal tip. Reducing a thick tip with thick skin requires defatting excess fibrofatty tissue inside the tip, and supporting the tip structures. I would recommend you consult with at leas...
Dear no277 in Beverly Hills, California: If the tip is elevated too much, cartilage can be grafted to the inside to push the tip down. These are standard techniques. Also, some people are helped without having a surgical procedure, whereby temporary or permanent filler is placed under the s...
The short answer to your question is that yes it is possible to correct the alar retraction and columella show with a closed approach; however, that would depend upon a physical examination and review of the old operative reports, if available. It could be a very minor procedure or it could be...