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Tip asymmetry and cartilage displacement. Could I have a tip plasty revision instead of a full revision rhinoplasty? (Photos)

JaneOliveDec 28, 2025
I had rhino 20 years ago. I had tip asymmetry and cartilage displacement, my nose looks more overprojected because of this. I receive dermal fillers but considering a revision. Could I have tip Plasty or would you advise a whole revision rhinoplasty?

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1735 Reviews
Answered on Dec 31, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. There are several options that could make your nose appear less pinched, which could be performed during a revision. Additional pictures and evaluation would be helpful. With good surgical technique, you could have an outstanding result. I recommend that...

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Mark K. Markarian, MD, MSPH, FACS

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone I agree that you can benefit from a revision to your dorsum, in addition to tip refinement. The question is how to do address the dorsum and your implant -- my experience in Gore-Tex (or...

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Mark K. Markarian, MD, MSPH, FACS

Short answer -- Yes. Long answer... There are grafts that move the nose closer to the lip (aka "de-rotating" the tip). I typically perform this by creating extended spreader grafts, locked into a columellar strut to maintain the tip at tension, and thus at the appropriate length. This...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It is possible to remove the SEG and replace it with a softer graft. I never recommend using ear cartilage as it lacks structural integrity needed for this type of graft. There are much better options available depending on your anatomy.. With good surgical...

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Bianca Knoll, MD

Thank you for asking your question. Generally, I would say, yes that is possible. One may need some additional cartiladge grafts, to change the narrowness of your tip - depending on, what was done during the intial procedure. One thing to keep in mind, revision rhinoplasty will not able to...

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