Hello. I had a rhinoplasty done about 9 years ago. One thing I am unhappy with is the tip. I feel like it's just a little to round and my nostrils are just a little to retracted up. I was wondering if lifting the columella, bringing back the infratip lobule ( I think that's what it's called) and shaving down the supratip lobule a bit will help fix this and possibly without the use of grafts? Thank you!
January 10, 2018
Answer: The Use of Grafts in Revision Rhinoplasty Although you are thinking about the potential negatives regarding the use of grafts, cartilage grafts during a revision rhinoplasty are not only useful, but often necessary. You have to imagine that a revision rhinoplasty is difficult for many reasons, but one of the most challenging issues is the formation of scar tissue. Scarring forces can pull the cartilage framework of the nose in one direction or another, causing cartilage to warp and twist. Therefore, placing cartilage grafts to augment the framework. It's very similar to creating the A-frame in building a house. The beams are correctly placed in order to create a very stable structure. This is similar with the infrastructure to the nose.
Helpful
January 10, 2018
Answer: The Use of Grafts in Revision Rhinoplasty Although you are thinking about the potential negatives regarding the use of grafts, cartilage grafts during a revision rhinoplasty are not only useful, but often necessary. You have to imagine that a revision rhinoplasty is difficult for many reasons, but one of the most challenging issues is the formation of scar tissue. Scarring forces can pull the cartilage framework of the nose in one direction or another, causing cartilage to warp and twist. Therefore, placing cartilage grafts to augment the framework. It's very similar to creating the A-frame in building a house. The beams are correctly placed in order to create a very stable structure. This is similar with the infrastructure to the nose.
Helpful
January 10, 2018
Answer: Revision rhinoplasty possible without the use of grafts? Without the benefit of in person exam and more detailed photos- it is impossible to give the best answer. However, based on the very limited profile picture- improvement -can -in my opinion be achieved -through the internal/closed technique. The decision for grafting must be reserved for following the physical exam, and the opinion of the experienced Board Certified PS
Helpful
January 10, 2018
Answer: Revision rhinoplasty possible without the use of grafts? Without the benefit of in person exam and more detailed photos- it is impossible to give the best answer. However, based on the very limited profile picture- improvement -can -in my opinion be achieved -through the internal/closed technique. The decision for grafting must be reserved for following the physical exam, and the opinion of the experienced Board Certified PS
Helpful
