Tip revision to restore pointy tip? (Photo)

Question

Hello, My initial rhinoplasty was very aggressive and my bridge was scooped, pointy tip rounded. I am looking for revision rhinoplasty to rebuild my bridge and restore my tip. My surgeon shortened and rounded my tip. I used to have a pointy and long tip. The tip change makes my nose bulbous and unflattering wheh smiling, as my tip used to point down when smiling. Is there any procedure that can elongate my nose and make it pointy again?

Eric M. Joseph, MD · Answer

It is impossible to make recommendations for you based on the two singular photos that you posted. I understand that you feel that your tip is wider after surgery, however, you do not have an operated nasal appearance. Perhaps considering asking you a question with side-by-side before and after photos and all of the important views for a better ability for the experts to evaluate your condition digitally. Thank you so much for your question and I wish you well moving forward. Sincerely, Dr. Joseph

Manish H. Shah, MD, FACS · Answer

Hello,
Thank you for your question.
If you are happy with the rest of your rhinoplasty procedure, it would be reasonable to consider an open tip rhinoplasty under local anesthetic to add a special cartilage graft known as a septal projection graft to give more support to your tip cartilages so that they won't flatten and broaden with smiling. You could consider adding a conservative tip cartilage graft as well to centralize the point a bit more. I have been using cadaveric rib graft since 2013 for these procedures and it works very well. I have not had any complications using cadaver tissue and it simplifies a patient's recovery.
I hope this helps!
Dr. Shah

Andrew Miller, MD · Answer

It's hard to tell from only front photos, but during a rhinoplasty revision, the bridge can certainly be built up again. The tip may be able to be brought down some, but that is a harder task. Be sure to see a rhinoplasty expert for consultation.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It really depends on how far out from surgery you are.   If less than one year, you should consider waiting longer.   Tip definition can be improved with a revision in the right patient.    I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Tip revision to restore pointy tip? (Photo)

Answers (4)

Answer: Tip evaluation

Answer: Tip evaluation

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Tip revision to restore pointy tip? (Photo)

Answers (4)

Answer: Tip evaluation

Answer: Tip evaluation

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.