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Can my nose tip be refined without adding projection or a graft if I have thick skin? (photos)

canthopexyAug 3, 2024
1. Can tip refinement + narrowing, correcting a drooping tip upon smiling - be achieved for Thick skin - without increasing projection?. - e.g. with a medial crural tuck-up, done truncation and cephalic trim. 2. Can a septal extension graft be trimmed, or is it better to remove? Would removing it cause complications, (drooping tip returns, and expansion when smiling)? Is this likely to restore a closer look to original nose? 3. Can steroid injections help reduce the projection from the graft

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Dr. Richard G. Reish, MD, FACS
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John Michael Thomassen, MD

You appear to have excessive infratip lobule projection. Sutures can help reshape this so it does not project too much. A spreader graft can help with a collapsed internal valve. The septal extension graft is not needed for these issues.

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Eric M. Joseph, MD

Since you have very thin nasal skin, please consider leaving for the surgery as a last resort. Depending on your examination, you may benefit from micro droplet Silikon 1000 injections for a wider, more symmetrical, and less operated nasal appearance. Thank you for your question. Sincerely, Dr....

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Eric M. Joseph, MD

Based on your photo, you appear to have very thin nasal skin and there is also nostril retraction and a visible cartilaginous bump on the left side. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for replacing lost volume and for achieving a more symmetrical...

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Eric M. Joseph, MD

The concept of waiting a full year has to do with waiting for all of the swelling from your first surgery to dissipate. Sometimes this happens between 6 to 12 months, and sometimes it takes a little longer than a year. An examination would be necessary to determine the feasibility of revision...

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John Michael Thomassen, MD

The nasal sill excision can be redone on one side to improve symmetry. A small amount of HA filler along the alar rim can help improve the alar rim contour. These are simple procedures that can be done without going back to surgery.

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Erin Smith, MD

Hello and thank you for your question. Whenever a patient is considering surgery, a number of factors should be considered including the desired outcome and what a reasonable expectation of results would be. Further, the details of previous surgeries are crucial to factor in what can be/needs to...

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