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Revision Rhinoplasty for Tip and nasal refinement? (photos)

had a rhinoplasty done 13 months ago and the outcome is that a have a lot of tip scar tissue and nasal exposure and maybe a slightly hanging columella. My doctor is recommending I refine the tip and everything else will balance out, but I feel that my nostrils have been pulled back and up so much they need to be addressed! with the size of my nostrils, I fear too much tip reduction will make them even more disproportionately large. What is the correct approach: alarplasty? Tip refine?

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Dr. Nima Shemirani, MD
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Answered on Apr 28, 2023
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Dr. Eric M. Joseph, MD
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Dr. Osman Halit Cam, MD
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Answered on May 4, 2022
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Nima Shemirani, MD

Hi Celebrated5879! Likely if your tip turns blue in cold weather, blood flow has decreased to the area. Hyperbaric oxygen is a great modality--this can deliver more oxygen to the tissues allowing them to heal. Best of luck, Dr. Nima!

+2 answers
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Nima Shemirani, MD

Hi @Intellectual429811. Thank you for sharing your photos. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination. Best of luck, Dr. Nima

+5 answers
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Jeffrey H. Spiegel, MD

Yes, it should be possible to improve your nose. The tip of your nose is full and the columella is in, but, that should be fixable.

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Jonathan Kulbersh, MD

Thank you for your question and photos. I understand your frustration and am sorry to hear that you’re unhappy with your results. The good news is that your nasal bridge is thin and straight, so your revision procedure will focus exclusively on your nasal tip. I strongly recommend visiting a r...

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Jonathan Kulbersh, MD

Thank you for your question and photos. An in-person consultation is needed to evaluate your concerns. However, I do believe a filler is likely your best option to treat the soft triangle depression, though a cartilage graft may be a more permanent solution. I recommend visiting a...

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Cem Altindag, MD

Hi, thank you for your question. I do not recommend you fillers as you mentioned before for the risks even they are quite rare. Your skin and subskin tissue is vulnerable due to previous surgeries. Fillers would be also dangerous for this reason. Cartilage graft (if possible, your own) would be...

+2 answers
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