Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

see all q&a
Posted underRevision Rhinoplasty q&a

How can I help with tip shape when smiling? (Photo)

harvey69Mar 24, 2024
I have had two rinoplasties and I am still unhappy with the “V” shape my nose makes when I smile. A few surgeons have declined further work on it.. They were both open rhinos with no cartiledge used from elsewhere.

Answers (1)

From board-certified doctors and trusted medical professionals
Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1706 Reviews
Answered on Apr 8, 2024
Answer
🔗 Link

More Revision Rhinoplasty Questions

Top Answer
User Avatar
Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a a Revision with a nasal tip deprojection to shorten the entire tip complex. A mastoid fascia tip graft can be placed at the same time to prevent asymmetry and camouflage the tip. With good surgical...

+3 answers
Top Answer
User Avatar
Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from revision to derotate your tip with extended spreader grafts. Even in thick skin patients, this is possible. With good surgical technique, you could have an outstanding result. I recommend that you seek...

+1 answers
Top Answer
User Avatar
Richard G. Reish, MD, FACS

Hello and thank you for your question. Photographs would be very helpful here. The overall feeling may improve with time as the swelling continues to decrease. However, the sense of overprotection and tip asymmetry will likely not improve and may even worsen with time. You may want to consider...

+2 answers
See all Revision Rhinoplasty Q&A
See more Revision Rhinoplasty Q&As
See all Q&As
SEE REVISION RHINOPLASTY GUIDE →