I want a smaller, less projected, more refined nose and tip. Do I need grafts? (Photo)
Doctor Answers 13
I want a smaller, less projected, more refined nose and tip. Do I need grafts?
Thank you for your question and photos. There are different kinds of rhinoplasty operations however we can divide them as the one that requires bone excision and the one that does not need bone excision. The main fact that we classify the rhinoplasty operations like that is that the results and postoperative period is associated closely with this fact. In the operations like “nasal tip correction”, “simple rhinoplasty” there is no need for a bone excision however these minor operations cannot be beneficial for everyone. The operation type is need to be determined by the surgeon according to needs of the patient. In these minor operations the rhinoplasty is performed with closed method. The bone and the cartilage tissues are not involved in the surgery directly. Small nasal bumps can be removed in these operations.
Spreaders a good idea
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Septoplasty and rhinoplasty with spreader grafts
Even in reduction primary rhinoplasty grafts are often necessary for balance and airway
Narrow middle third of the nose
However, there are many different techniques available to improve the anesthetic outcome of the nose without using spreader grafts as well. It's more important for you to proceed with the surgeon you feel the most comfortable with.
Your photo does show a very narrow midvault. This is usually corrected by spreader grafts. Tip grafts (Sheen type) are most commonly used for tip projection, definition, symmetry and not droop.
Don't focus on technique, focus on the surgeon for #rhinoplasty
Without seeing you and feeling your nose its not useful to make comments online but from the look of your pictures you have fairly thin skin and fairly weak cartilages and short nasal bones (just based on these pictures).
You also have a very narrow bridge with asymmetries. To get the nose to be smaller, cuter, more symmetric and better a variety of structural techniques may need to be used including various sutures and grafts. It just depends. You may not truly need a spreader graft if the surgeon can use your own Upper Lateral Cartilages and leave them higher and stronger. Same thing for the tip. You may need a columellar strut but if a Tongue in Groove is done then you may not need the strut. Again just depends. These are just tools. The thing you should focus on is finding the best possible surgeon and trust his judgement. 10 surgeons may list the techniques and tools they want to use but your task is to find the one who uses the tools the best.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.